Comparative Study of Stapled and Open Hemorroidectomy

Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 1

Abstract

Background and Objectives: Stapled Hemorroidectomy has rapidly become established as the popular alternative to open Hemorroidectomy, it has a safety profile better than open procedure. Objectives: To compare the short term outcome of Stapled Hemorroidectomy, with Open haemorrhoidectomy (MilliganMorgan) in terms of Duration of surgery Post operative pain and analgesia Safety and efficacy of the procedure Procedure time Intra-op complication Duration of hospital stay Post operative complications Days taken for Return to Work Anorectal physiological functions and recurrence Patient satisfaction Methods: Prospective study from Oct 2014 to June 2016, involved 90 patients undergoing surgery for haemorrhoid at Krishna Institute of Medical Sciences, Karad who fulfilled the criteria were included in the study. Forty five underwent Milligan Morgan technique of open haemorrhoidectomy and forty five underwent Longo technique of Stapled hemorroidopexy. Descriptive statistical analysis has been carried out in the present study. Significance is assessed at 5 % level of significance, Student t test (two tailed, independent) has been used to find the significance of study parameters on continuous scale in parametric condition between two groups Inter group analysis) and Mann Whitney U test (two tailed, dependent) has been used to find the significance of study parameters on continuous scale in non-parametric condition with in each group. Chi-square/ Fisher Exact test has been used to find the significance of study parameters on categorical scale between two groups. Results: stapledhemorrhoidopexy is associated with shorter duration of surgery, less postoperative pain and need for analgesia, shorter duration of hospital stay and a quicker recovery, earlier return to work and a high patient satisfaction as compared with Conventional hemorrhoidectomy (Milligan Morgan technique) of Open Hemorrhoidectomy. Conclusions: The findings of our study confirm that stapled hemorrhoidopexy is associated with shorter duration of surgery, less postoperative pain and need for analgesia, shorter duration of hospital stay and a quicker recovery, earlier return to work and a high patient satisfaction as compared with Conventional hemorrhoidectomy (Milligan Morgan technique) of Open Hemorrhoidectomy. The procedure is not associated with major post operative complications. There is no recurrence, residual prolapse or incontinence in the follow up period of six months. We conclude that stapled hemorrhoidopexy is safe with many short-term benefits. It is a novel technique and has emerged as an alternative to open hemorrhoidectomy , long considered the “gold standard”.

Authors and Affiliations

Sourav Baur

Keywords

Related Articles

A Study on Dyslipidemia and the Atherogenic Index of Plasma in Chronic Kidney Disease

The purpose of the study is to study and analyse the atherogenicity of plasma in patients with Chronic Kidney Disease. This study was conducted on 85 patients of CKD admitted in Kanyakumari Government Medical College of...

Neuropsychiatric Manifestation in HIV/AIDS

Aim: To study the neuropsychiatric manifestations in patients with HIV / AIDS. Design: Cross – sectional study Methods: 50 male & female HIV positive / AIDS patients in the age range of 18-60yrs of age without any past p...

Camphorated Oil Related Optic Neuritis: Review of 21 Cases

21 Cases of Optic neuritis have been reported from Tertiary care hospital of Northern India. All of these patients were chronic camphorated hair oil users for more than 5 years, all had onset in summer season, with norma...

A Case Control Study: Evaluation of Serum Vitamin D Levels and Vitamin B12 Levels in Vitiligo

Background: Vitiligo is a common, acquired, often heritable, multifactorial, polygenic pigmentary disorder. Low levels of Vitamin D, an essential hormone synthesized in the skin with diverse effects on immune system have...

Use of Molecular Diagnostic Test in new AFB Smear Positive Tuberculosis Isolates to Study Multidrug Resistance in Sub Himalayan Region of North India-A Pilot Study

Background: Tuberculosis (TB) is the leading cause of morbidity and mortality in India especially in rural areas. Objective: The goal of this study was to examine the patterns of TB drug resistance among new smar positiv...

Download PDF file
  • EP ID EP246363
  • DOI -
  • Views 56
  • Downloads 0

How To Cite

Sourav Baur (2017). Comparative Study of Stapled and Open Hemorroidectomy. Journal of Medical Science And clinical Research, 5(1), 15768-15778. https://europub.co.uk/articles/-A-246363