Comparative Evaluation of Stapled Hemorrhoidectomy versus Open Hemorrhoidectomy
Journal Title: Journal of Advanced Research in Medicine - Year 2018, Vol 5, Issue 2
Abstract
Background: Hemorrhoid is one of the most common diseases encountered by a surgeon on daily basis. The choice of method of treatment for hemorrhoids depends on the severity and the type of symptoms, on the degree of prolapse and on the expertise of the surgeon and available equipment. Aim of this study is to compare stapled hemorrhoidectomy with conventional Milligan-Morgan hemorrhoidectomy in terms of surgical outcomes. Materials and Methods: Out of total of 50 patients selected, 25 underwent open and 25 stapled hemorrhoidectomy. Inclusion criteria for selection of the patients were large grade II, III and IV hemorrhoids and externo-internal hemorrhoids with well-developed external hemorrhoids. Results: Out of 50 patients included in our study, 15 were female and 35 male. The youngest was of 25 years of age and eldest 59 years. In group A, mean operative time was 29.8 min as against 51.32 min in group B with p value <0.001. All patients of group A were virtually pain free 7 days postoperatively, while mean pain of 1.04 was still recorded at 7 days in group B patients. Conclusion: Early functional and symptomatic outcomes have been found satisfactory and comparatively better with stapled hemorrhoidectomy. However, long-term follow-up in respect of so many factors is yet to be seen and further studies are required for this.
Authors and Affiliations
Dr. Jitendra Kumar
Keywords
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- EP ID EP287215
- DOI 10.24321/2349.7181.201810
- Views 157
- Downloads 0
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