ArticleTechniques in coloproctology2014
The tissue selecting technique (TST) versus the Milligan-Morgan hemorrhoidectomy for prolapsing hemorrhoids: a retrospective case-control study.
Article in Techniques in coloproctology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 21 citations in OpenAlex.
- Tissue selecting therapy stapler minimally invasive surgery to treat severe hemorrhoids.BMC surgery · 2025Trial
- Partial Stapled Hemorrhoidopexy Versus Circumferential Stapled Hemorrhoidopexy for Grade III to IV Prolapsing Hemorrhoids: A Randomized, Noninferiority Trial.Diseases of the colon and rectum · 2019Trial
- A prospective randomized controlled trial evaluating the short-term outcomes of transanal hemorrhoidal dearterialization versus tissue-selecting technique.Techniques in coloproctology · 2017Trial
- Effects of Topical Atorvastatin (2 %) on Posthemorrhoidectomy Pain and Wound Healing: A Randomized Double-Blind Placebo-Controlled Clinical Trial.World journal of surgery · 2017Trial
- Ruiyun procedure for hemorrhoids versus tissue-selective therapy stapler for grade II-III hemorrhoids: an exploratory retrospective comparative study.BMC surgery · 2026Article
- The comparison of doppler-guided haemorrhoidal artery ligation and the tissue selecting technique for patients with grade III/IV haemorrhoids: a retrospective cohort study.Updates in surgery · 2025Article
- A comparative study on efficacy and safety of modified partial stapled hemorrhoidopexy versus conventional hemorrhoidectomy: a prospective randomized controlled trial.Annals of coloproctology · 2025Article
- Comparison of the efficacy and safety of different surgical procedures for patients with hemorrhoids: a network meta-analysis.Techniques in coloproctology · 2023Review
- Prevention and Treatment of Anastomotic Strictures After Procedure for Prolapse and Hemorrhoids.Risk management and healthcare policy · 2023Review
- Outcomes of Modified Tissue Selection Therapy Stapler in the Treatment of Prolapsing Hemorrhoids.Frontiers in surgery · 2022Article
- Early Experience With a Partial Stapled Hemorrhoidopexy for Treating Patients With Grades III-IV Prolapsing Hemorrhoids.Annals of coloproctology · 2017Article
- Partial Stapled Hemorrhoidopexy Versus Circular Stapled Hemorrhoidopexy.Annals of coloproctology · 2017Article
- Treatment of Prolapsing Hemorrhoids in HIV-Infected Patients with Tissue-Selecting Technique.Gastroenterology research and practice · 2017Article
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMilligan-Morgan hemorrhoidectomy (MMH) is the procedure of choice in the management of hemorrhoidal disease. However, this procedure is associated with significant postoperative pain. Tissue selecting technique (TST) is a segmental stapled hemorrhoidopexy, which aims to reduce the postoperative pain, rectovaginal fistula (RVF) and rectal stenosis. The aim of the present study was to compare the clinical outcomes between TST and MMH.
methodsA case-control study was undertaken to investigate the difference in clinical characteristics between the patients treated with TST and those treated with MMH. Intraoperative and postoperative parameters in both groups were collected and compared.
resultsOne hundred and ninety-five eligible patients underwent either TST (n = 121) or MMH (n = 74). The pain score was significantly less in the TST group than that in the MMH group at the first defecation and at 12 h, day 3 and day 7 postoperatively (P = 0.001). Further analysis revealed that, at the time point of 12 h, day 3, day 7 and during first defecation, the pain score in the TST group and TST + STE group was less than that in the MMH group (P = 0.001). No patient in either group developed postoperative rectal stenosis. Furthermore, no case of RVF was identified in the TST group. The 1-year recurrence rate was 3.3 % (4/121) and 2.7 % (2/74), respectively, in TST and MMH groups (P = 1.0).
conclusionsThe 1-year recurrence rate after TST and MMH for the treatment of patients with grade III-IV hemorrhoids is similar. It is encouraging that TST is associated with less postoperative pain and no RVF or rectal stenosis.
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