Stapled Hemorrhoidopexy Versus Classical Hemorrhoidectomy – A Prospective Comparative Study with 3 Years Follow-up
Journal Title: International Journal of Current Research and Review - Year 2017, Vol 9, Issue 15
Abstract
Hemorrhoids are the common benign anal problems in rural India and usually the patients present to the surgical outpatient department at late stage. This prospective randomized clinical trial is aimed to compare the results of classical versus stapled hemorrhoidopexy for treatment of third and fourth degree hemorrhoids. Objective: We report our experience on surgical treatment focusing on postoperative pain, complications and days to return normal activities after the procedure Methods: 106 patients admitted for surgical treatment with class III/IV hemorrhoids from June 2011 to May 2013 were randomly assigned to classical (n=53) or stapled hemorrhoidopexy (n=53).The outcomes included in form of post operative pain, procedure time, number of days taken to return to work, post-operative bleeding, acute urinary retention, need of dressings, and anal stricture were compared. The patients were followed up to 3 years for recurrence of symptoms. Results: Stapled procedure group had less postoperative pain, earlier return to normal activity and less recurrence after 3 years of the study. There is no need of Seitz bath after stapled procedure Conclusion: Stapled hemorrhoidopexy is an effective alternative treatment for third and fourth degree hemorrhoids with significant advantages for patients compared with traditional open hemorrhoidectomy.
Authors and Affiliations
Samir Ranjan Nayak
Keywords
Related Articles
- EP ID EP609335
- DOI 10.7324/IJCRR.2017.9155
- Views 117
- Downloads 0
Health Problems and Coping after Laparoscopic Sterilization: A Descriptive Correlational Study
Female sterilization is one of the most commonly used contraception. Women often experience health problems after sterilization and use several coping strategies to overcome their problems. Objective: This study is aimed...
Effect of Duration of Diabetes on Heart Rate Variability in Type 2 Diabetes Mellitus
Introduction: Diabetes is a metabolic disorder with debilitating complications which affects several million people worldwide. Cardiac Autonomic Neuropathy (CAN) is the most common chronic complication of type 2 diabetes...
A Review on Biochemical Aspects of Schizophrenia
Schizophrenia is a severe disorder affecting the brain. Defective neurotransmitters and altered neurotransmission system maybe one of the various causes for this psychiatric disease. There are several hypotheses explaini...
Histopathological Pattern of Ovarian Tumours – An Experience
Background: Ovarian neoplasms exhibit a wide variation in structure and biological behaviour. There are numerous types of ovarian tumours, and over all they fall into benign, borderline, and malignant categories. Ovarian...
Achondroplasia with Oral Lichen Planus - A Case Report
This article aims to highlight the occurrence of oral lichen planus in a patient with achondroplasia. The patient was treated with topical and systemic corticosteroids and showed significant improvement. Achondroplasia i...