A study of stapler hemorroidectomy in a tertiary health care centre
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 7, Issue 3
Abstract
Background: Hemorrhoids are amongst the most frequent anorectal conditions ffecting approximately 4–36 % of the general population Aims and Objectives: Study in the post operative patients of stappler hemorroidectomy so compare its result with conventional methods. After approval form the institutional ethiscal committee a cross-sectional study was carried out in on the 70 patients of Diagnosed patients of hemorrhoids during March 2017 to March 2018 was carried out at the tertiary care hospital, written consent of the patients. All eligible patients who needs surgery (Grade III and IV) for hemorrhoids were given treatment by stapler hemorroidectomy and conventional hemorrhoidectomy the allocation of the patients done randomly and allotted by the random number enerated by computer. The statistical analysis done by Unpaired t-test and calculated by SPSS 19 version software. Results: The difference in two groups of the average age is comparable (P>0.05; t=2.34; df=68); Operative time was significantly lower in Stapler hemorroidectomy compared to Group B(P< 0.0001 ;t = 10.00; df=38.) ; Intra-operative bleeding was significantly lower in Stapler hemorroidectomy compared to Conventional hemorroidectomy. (P< 0.001; t = 52.24, df=68.); Time to first bowel movement (hr) was significantly lower in Stapler hemorroidectomy compared to Conventional hemorroidectomy (P<0.001; t = 17.23, df=68); Average hospital stay (Days) was significantly lower in Stapler hemorroidectomy compared to Conventional hemorroidectomy. (P<0.001; t = 4.00df=68); Average Analgesic required (No. of Tab.) was significantly lower in Stapler hemorroidectomy compared to Conventional hemorroidectomy (P<0.001;t=13.67 df=68). Time required for Wound healing was significantly lower in Stapler hemorroidectomy compared to Conventional hemorroidectomy (P<0.001; t = 17.23, df=68). Overall the complications were, more in the Conventional hemorroidectomy (57.14%) as compared to Stapler hemorroidectomy (28.57%). The complications like Urinary retention, Bleeding, Incontinence of flatus, External tags, Recurrence, Anal stenosis, were common in Conventional hemorroidectomy than Stapler hemorroidectomy. Conclusion: It can be concluded from our study that stappler hemorroidectomy was superior with respect to various surgery outcome like less time was required, post operative pain, less stay in the hospital and less complications etc.
Authors and Affiliations
Patwadi Ajay Kumar
Keywords
Related Articles
- EP ID EP410386
- DOI -
- Views 176
- Downloads 0
A study of necrotizing fasciitis with reference to clinical, haematological, microbiological and radiological investigations in the diagnosis of necrotizing fasciitis
Background: Necrotizing fasciitis represents a group of highly lethal infections characterized by rapidly progressing inflammation and necrosis. Microbiological and radiological inv patients with necrotizing fasciitis (N...
Preoperative Serum Albumin as an Independent Predictor of Post-Operative Morbidity
Background: Approximately one-third to one-half of hospitalized patients are malnourished at the time of admission, and this nutritional status can not only adversely affect a patient’s clinical condition, but adversely...
Cost effectiveness of Lichtenstein mesh hernioplasty vs modified Bassini’s repair: A comparative study
Background: Inguinal hernia is a leading cause of disability and loss of work. These newer techniques of hernia repair are having lower complication rates, but the cost is too high with non-availability in many areas. Ai...
Perforator based flaps in leg reconstruction
Background: Perforator flaps have recently become ubiquitous in the field of plastic surgery. To understand and appreciate their unique nature, it is necessary to compare and contrast them with the development of other t...
A comparative study of polypropylene versus polyester mesh in groin hernia repair
Background: Inguinal hernia repair is the most common general surgery procedure, and several hundred thousand are performed every year in the United States. Countless studies have been done in attempts to improve outcome...