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Aims And Objectives:The aim of the study was to compare the results of Ligasure hemorrhoidectomy and conventional haemorrhoidectomy in terms of Operating time and Blood loss, Post operative pain, Post operative complications, Hospital stay and Time to return to work. Methods: The study population consisted of 60 patients who were admitted with Grade III or Grade IV Hemorrhoids. Patients were submitted to one of the surgical procedures mentioned above after randomising. The time for each surgical procedure, the per operative bleeding and Post-operative pain using visual analogue scale , time for defecation after operation and pain and bleeding associated with it were assessed. Early post-operative complications, patients length of hospital stay and time to return to work were compared. A follow up examination was conducted for minimum period of 6 months.

The aim of the study was to compare the results of stapled haemorroidopexy and open haemorrhoidectomy. METHODS: The study population consisted of 60 patients who were admitted with hemorrhoids to a Medical college hospital providing primary, secondary and tertiary care. Patients were allocated to both groups on random basis. The main outcome measures were, time taken for each surgical procedure, the intra-operative bleeding, Post-operative pain (visual analog scale), time taken for first defecation after operation, Duration of hospital stay and Time taken to return to work. Follow up was conducted for minimum period of 6 months. RESULTS: Stapled v/s conventional haemorrhoidectomy was associated with significantly reduced operating time (30.13±5.97 v/s 47.67±8.28 minutes; p= 0.001), Less blood loss during stapled v/s open haemorrhoidectomy (12.33 ml and 21.83 ml; p = 0.001), Reduced post-operative pain scores (Visual Anolog Score) on the first 4 post-operative days (day 1: 4.63 v/s 5.70, day 2: 2.70 v/s 4.57, day 3: 1.83 v/s 3.70 and day 4: 1.2 v/s 3.10, where 0 indicates no pain and 10, maximum pain; p ≤ 0.001), Patients who underwent stapled haemorrhoidectomy passed stools earlier (22.10±3.75 hrs. and 26.03±3.77 hrs: p ≤ 0.001) than conventional group. Reduced number of hospital stay in stapled group (3.83±0.87 v/s 6.70±1.82 days: p≤0.001) compared to conventional group. Anal stricture noted in two patients in stapled group compared to 4 patients in open group. CONCLUSIONS: Stapled haemorroidopexy is associated with reduced operating time, less blood loss during surgery, reduced post-operative pain, less number of hospital admission days, early return to work. It is a safe and effective procedure for haemorrhoids; it may become a gold standard procedure for haemorrhoids in future.