Stapled hemorrhoidectomy Vs conventional hemorrhoidectomy – Surgical outcome in Indian population
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 7, Issue 2
Abstract
Background: Stapled hemorrhoidectomy a technique which is concerned with less postoperative pain and lesser morbidity compared to conventional procedures in the treatment of hemorrhoids. This study proposes to compare the outcome of stapled hemorrhoidectomy versus open conventional hemorrhoidectomy. Method: A comparative cross sectional study was conducted from October 2014 to May 2015 in Department of Surgery in Siddhartha Medical Collage. Patients with grade III and IV who underwent stapled hemorrhoidectomy (n=40) considered as group A and open hemorrhoidectomy (n=40) as group B. After written informed consent patients were evaluated for the surgical outcome in terms of postoperative pain (visual analogue scale), hospital stay and return to work. Data was analyzed using SPSS 17. The significant difference between the two groups was tested using the Student’s t independent test. p values <0.05 to be significant. Result: Mean operating time for stapled Hemorrhoidectomy was 27.43 minutes with that of open Hemorrhoidectomy was 36.48 minutes (p value <0.0001). The mean postoperative pain was less in stapled method with statistical significance. Statistical significance was noted for first bowel movements and return to normal work (p value <0.0001). There were no significant differences in the complications. Conclusion: Stapled haemorrhoidectomy reported less pain when compared to the conventional open method and allows early return to work. However, long-term complications are still unknown, operative time, duration of hospital stay and return to normal activity were satisfactory with stapler hemorrhoidectomy.
Authors and Affiliations
M B Satish Kumar
Keywords
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