Title: Stapled Haemorrhoidopexy vs Conventional (Open) Haemorrhoidectomy--A Comparative Study
Authors: Dr Manawor Ahsan, Dr S. Nazir Hussain
DOI: https://dx.doi.org/10.18535/jmscr/v5i6.78
Abstract
Haemorrhoids are one of the most common anorectal disorders. Conventional haemorrhoidectomy (CH) is the most commonly practiced surgical technique. Stapled Haemorrhoidopexy (SH) [procedure for prolapsed haemorrhoids (PPH)] is newly developed method for the surgical management of Haemorrhoids.
Method: Thirty patients admitted for surgical treatment of prolapse haemorrhoids were randomly assigned to conventional haemorrhoidectomy (n=15) or stapled haemorrhoidectomy (n==15). All patients received standardised preoperative antibiotics and laxative regime, visual analog scale (VAS) scores were used as a primary outcome measure. Secondary outcome measures were operative time use of analgesic, postoperative complications, hospital stay duration, and time of first bowel motion and return of normal activity.
Results: Stapled haemorrhoidectomy is associated with a significant less postoperative pain, early return to normal activity, shorter operative time, shorter hospital stay and early return to normal activity.
Conclusion: Stapled haemorrhoidectomy is an effective treatment of third degree & 4th degree haemorrhoid with significant advantages over conventional haemorrhoidectomy (CS).
Keywords: Haemorrhoids, Stapled Haemorrhoidopexy, Conventional Haemorrhoidectomy.
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Dr Manawor Ahsan
Assistant Professor, Dept. of Surgery
NCMH, Patna