|
S.No. |
Subject |
Conventional Surgery |
MISP Technique |
|
1. |
Need of anesthesia |
Spinal anesthesia is required |
Can be done under local Anesthesia
|
|
2. |
Need of admission
|
Hospital admission for 2 to 3 days
|
Day care surgery
|
|
3.
|
Pain after surgery
|
Intense pain
|
Minimal pain or painless surgery
|
|
4.
|
Post operate dressings
|
For at least 10 days
|
No dressing is required
|
| 5.
|
Recovery
|
Takes 10 to 34 days
|
Require 2 to 3days
|
| 6.
|
Satisfaction rate
|
80%
|
96%
|
| 7.
|
Operating time
|
30 to 40 min
|
5 to 10 min
|
| 8.
|
Complication rate
|
Very high
|
Minimal
|
| 9.
|
Blood Loss |
Some time there can be serious loss
|
Very minimal Loss
|
| 10.
|
Selection of patient
|
One has to be very careful in old age, paralysis, diabetes, cardiac patients and
patients of advanced age
|
All these conditions handled very comfortably
|
| 11.
|
Associated fissure , fistula
|
No role in conditions mentioned above |
Even fistula, fissure can be managed comfortable with this technique
Rather this technique is minimal
Invasive technique for fistula & fissure
|
| 12.
|
cure rate
|
Reoccurrence rate is 20%. So no guarantee
|
Reoccurrence rate is 4%
|
|
13. |
Cost of surgery
|
Even normal District Hospital costs arround 12 to 15 Thousand
|
Surgical costs is only 4500 |
|
14. |
Comparisions with On MIPH & Staple technique
|
These are very costly with recurrence rate & less satisfaction
|
Complication rate is very less & satisfaction rate is very high
|