A DESCRIPTIVE STUDY OF DAY CARE STAPLED HAEMORRHOIDOPEXY SURGERY IN GRADE 3˚ AND 4˚ HAEMORRHOIDS UNDER LOCAL ANAESTHESIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 13
Abstract
BACKGROUND Haemorrhoids are one of the most common afflictions of human beings from times immemorial. It is said that 40 percent of population have symptoms due to haemorrhoids at some time in their lives. Stapled haemorrhoidopexy under local anaesthesia has been emerging as the procedure of choice for symptomatic haemorrhoids. Aims and Objective- To assess the advantage of performing stapled haemorrhoidopexy under local perianal block. To study the post-operative complications after stapled haemorrhoidopexy. To assess the feasibility of stapled haemorrhoidopexy in grade III and grade IV haemorrhoids. To assess the advantages of stapled haemorrhoidopexy in anal skin regression after surgery. MATERIALS AND METHODS 60 patients of grade 3 and 4 haemorrhoids were operated by haemorrhoid stapler under local anaesthesia. RESULTS Stapled haemorrhoidopexy under local anaesthesia can be safely performed as a day care procedure in grade III and grade IV haemorrhoids. Patients following stapled haemorrhoidopexy under local anaesthesia have reduced post-operative pain, hospital stay, analgesic requirements and earlier return to work, early mobility out of bed, less operative time, short learning curve, less operative complications, cost effectiveness and good patient satisfaction. CONCLUSION Stapled haemorrhoidopexy under local anaesthesia is feasible to be used in those patients who are unwilling and unfit for other modes of anaesthesia with similar results with lesser complication rate and as a day care procedure.
Authors and Affiliations
Arvind Shukla, Varsha Dhakad, Mathur R. K, Pravin Agrawal
Keywords
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- EP ID EP412112
- DOI 10.14260/jemds/2018/355
- Views 73
- Downloads 0
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