Efficacy of Stapler Hemorrhoidectomy Compared to Open Hemorrhoidectomy at a Tertiary Care Hospital

Chawada, Meghraj J.; Shinde, Prashant R.; Deshmukh, Sanjay D; Dean, Catherine M.

doi:10.21088/nijs.0976.4747.10219.7

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“…All reports suggest better patient acceptance and greater adherence to daily procedures, which can make it cheaper. Another randomized controlled trial study found that patients were significantly more likely to have longterm round staple haemorrhoidectomy, and patients with staple haemorrhoidectomy reported significantly higher proportions of prolapse symptoms than those who had conventional haemorrhoidectomy(CH) 12,16 . Wecompared open and stapled haemorrhoidectomy procedures (early) by in terms of operative time, postoperative pain, hospital stay, length of absence from work or disability time, and complications.…”

Section: Introductionmentioning

confidence: 99%

Stapled and open haemorrhoidectomy; A comperative study of early outcome

Jalil

Hassan

Kobra

et al. 2022

Bangladesh J Med Sci

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Background: Stapled Hemorroidectomy is more popular alternative, has higher safety profile, and quickly established than the open Hemorroidectomy procedure. Objective:The study aimed to compare between the early post-operative outcomes of open haemorrhoidectomy and stapled. Methods:A total of 50 patients between the age group 20 to 70years who were diagnosed with grade 3 and grade 4 hemorrhoids, were divided into two groups equally. Stapled haemorrhoidectomy contains 25 Patients undergoing and Open haemorrhoidectomy contains 25 Patients. Comparative analysis between the two groups were done based on student’s T test using SPSS 24 software version. The level of significance was set to 5% (p < 0.05). Results: There were 52% males and 48% females in Stapled haemorrhoidectomy groups and 64% males and 36% females in open haemorrhoidectomy group. 48% patients had grade 3 and 52% had grade 4 haemorrhoids in Stapled haemorrhoidectomy groups, and 44% had grade 3 and 56% had grade 4 haemorrhoids in open haemorrhoidectomy groups. In 16% of patients in stapled haemorrhoidectomy group and 24% of patients in open haemorrhoidectomy group blood loss was seen. In 12% of patients with staple haemorrhoidectomy and in 20% of patients with open haemorrhoidectomy was necessary supportive stitching. 52% of patients in open haemorrhoidectomy was observed residential prolapse but not in stapled haemorrhoidectomy patients. In the stapled group the duration of hospital stay (in days) was 1.96±0.82 days as compared to 3.98±0.78 days in the open group. Comparing to only 4% in the open group, 80% patients were discharged within 2 days in stapled group. In the open group at the end of 4 days 72% were discharged. Conclusions: Open haemorrhoidectomy at Milligan-Morgan is not easy as stapled haemorrhoidectomyinvolves shorter operation, fewer postoperative pain and an analgesic need, shorter hospital stays and a faster rehabilitation, earlier work back, the study confirms. Bangladesh Journal of Medical Science Vol. 21 No. 02 April’22 Page : 438-443

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Section: Introductionmentioning

confidence: 99%