STAPPLER HAEMORRHOIDECTOMY IS SAFE AND EFFECTIVE FOR III AND IV GRADE HAEMORRHOIDS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 33
Abstract
Hemorrhoidectomy is one of the most commonly performed anorectal operations. The present study was designed to compare the results of stapler haemorrhoidectomy (SH) with Milligan- Morgan open Hemorrhoidectomy (OH). We evaluated the safety and effectiveness of SH and OH. Additional endpoints include operative time, postoperative pain, duration of hospital stay and time taken to resume normal work. METHODS: Patients who underwent surgery for symptomatic Grade III and Grade IV haemorrhoids were included in this study. Patients were divided in to two groups, SH and OH groups depending up on the type of surgery performed. Primary end points were operative time, postoperative pain, post-operative hospital stay and time taken to resume normal works. RESULTS: A total of 70 patients underwent haemorrhoidectomy, 21 females and 49 males, 38 underwent SH and 32 underwent OH. The mean age of patients who underwent SH and OH was equal, duration of surgery, pain scores measured at 24 hours, 48 hours, 72 hours and 7 days, duration of hospital stay and time taken to resume normal works were low in SH group when compared to OH group. CONCLUSION: The findings of our study confirm that SH is associated with shorter duration of surgery, less postoperative pain, shorter duration of hospital stay and a quicker recovery, earlier return to work as compared with OH. The procedure is not associated with major post-operative complications. There is no recurrence, residual prolapse or incontinence in the average follow up period of one year. We conclude that SH is safe with many short-term benefits.
Authors and Affiliations
Venkatapuram Mahidhar Reddy, Madan Mohan Reddy Paluru, Sreeram Sateesh
Keywords
Related Articles
- EP ID EP229749
- DOI 10.18410/jebmh/2015/686
- Views 105
- Downloads 0
A RETROSPECTIVE ANALYSIS OF SOCIODEMOGRAFIC AND ETIOLOGICAL CAUSES OF MATERNAL DEATHS IN A TERTIARY TEACHING HOSPITAL (KING GEORGE HOSPITAL)– VISHAKAPATNAM
BACKGROUND Pregnancy and childbirth is a normal physiological process bringing a joyful experience to individuals and families. However, in many parts of the world, pregnancy and childbirth is a perilous journey, a risky...
GYNAECOLOGICAL PROBLEMS IN INDIAN ADOLESCENT GIRLS
BACKGROUND We undertook the study to assess the clinical profile of adolescent girls in the age group of 10-19 years attending our gynaecology clinic at GMC Kottayam. The objective was to evaluate various clinical presen...
MEAN PLATELET VOLUME (MPV) & OTHER PLATELET INDICES IN ACUTE MYOCARDIAL INFARCTION (AMI) & STABLE CORONARY ARTERY DISEASES (SCAD)
Myocardial infarction is the major cause of morbidity and mortality in industrialized countries. Platelet activation is a hallmark of acute coronary syndrome. An increased MPV, an indicator of larger and more reactive pl...
ADDITIONAL YIELD IN THE DIAGNOSIS BY USE OF FIBER OPTIC BRONCHOSCOPY AND CT SCAN IN EVALUATION OF PATIENTS WITH HAEMOPTYSIS HAVING NORMAL CHEST X-RAY
BACKGROUND Haemoptysis is a symptom that warrants immediate attention. Chest radiograph is mandatory for patients with haemoptysis and it often shows abnormality, but many a time CXR may appear normal. The diagnosis of t...
CLINICOPATHOLOGICAL PROFILE STUDY OF HOARSENESS OF VOICE
BACKGROUND Hoarseness of voice may be present due to various underlying pathologies. Hoarseness is subjective term used to describe abnormal voice quality which may occur due to many causes because it is just a symptom....