Comparative study of open haemorrhoidectomy and stapler haemorrhoidopexy in a rural tertiary center
Journal Title: Medpulse International Journal of Surgery - Year 2019, Vol 10, Issue 3
Abstract
Background:Hemorrhoids are one of the most common benign anorectal problem worldwide. The gold standard surgery for hemorrhoids consists of excision of the main hemorrhoidal cushions. But they have their drawback. postoperative pain and protracted wound healing, leading to a significant, although highly variable, postoperative discomfort and prolonged sick leave. Ever since Longo introduced stapler hemorrhoidopexy in 1998 it has become a revolution. The aim of this study is to compare stapler hemorrhoidopexy with the gold standard and study its benefits.Methods:In this study 64 patients were randomised into two groups of 32 each after taking an informed consent to participate in the study. The groups were compared for operating time, postoperative urinary retention,duration of hospital stay and return. The patients were followed up for a period of three months and patient satisfaction assessed after that. Only patients with second, third and fourth degree hemorrhoids were included and patients with any other ano rectal pathology were excluded.Results:Males dominated the study group with 45(70%). Most common age group was 41-60. Stapler hemorrhoidopexy had less operating time, less post-operative pain, less urinary retention, early discharge from hospital and return to work that open hemorrhoidectomy group. The patient satisfaction after three months was also more.Conclusions:Stapled hemorrhoidopexy does have a significant advantage over open Milligan Morgan hemorrhoidectomy because of reduced procedure time, reduced postoperative pain, early discharge from hospital and an early return to work but in a country like India were majority of the population is not economically sound the cost of stapler hemorrhoidopexy would be prohibitive to many. Taking into consideration the economic burden it is difficult to recommend stapler hemorrhoidopexy in all patients in a developing country like India
Authors and Affiliations
Ribin Christhudas, Sunanda Kumari, Deepak Paul, Devi Varna Shaji, Anu Vijayan Babu
Keywords
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- EP ID EP614378
- DOI 10.26611/1061036
- Views 175
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