Early experience with day care stapled Haemorrhoidectomy

Abstract

Introducti on: Improvements in anesthesia, pain management, the evoluti on of minimally invasive surgery and changing atti tudes to recovery aft er surgery have all promoted to the expansion of scope of day care surgery. The use of stapled haemorrhoidectomy is an accepted treatment modality for prolapsing hemorrhoids of varying degree. To evaluate the outcome of pati ents undergoing stapled hemorrhoidectomy in the early postoperati ve period with special focus on pain intensity, requirement of analgesic and its feasibility as a day care procedure.Method: Interventi onal, clinical, hospital based study carried out at Shree Birendra Hospital between November 2010 and May 2011. The feasibility of discharging pati ents on the day of Stapled Hemorrhoidectomy was evaluated.Results: Of the eleven (n=11) pati ents selected for daycare Stapled Hemorrhoidectomy ten pati ents (~90%) could be discharged aft er six hours of observati on. Conclusion:Stapled Hemorrhoidectomy is a safe and easily mastered technique with superior results in the immediate/ early postoperati ve period. The initi al cost of the stapling device is the main concern but social and economic savings related to a faster recovery may off set the initi al cost especially when it is performed on a day care basis.