Hemorrhoidectomy; Stapled Versus Conventional Hemorrhoidectomy in Terms of Post-Operative Pain and Hospital Stay

Abstract

ABSTRACT… Objectives: Is to compare outcomes in terms of mean post-operative pain and hospital stay between stapled versus conventional hemorrhoidectomy. Hypothesis: There is a difference in mean post-operative pain and hospital stay between stapled and conventional hemorrhoidectomy, stapled technique is better than conventional technique. Study Design: Randomized control trial. Setting: Department of General Surgery Bakhtawar Amin Memorial Hospital Multan. Period: February 2016 February 2017. Methodology: A total number of 60 patients enrolled in the study, both genders. Statistical software SPSS ver.23 was used to analyze the data. Mean and SD were calculated and presented for numerical variables like duration of hemorrhoids, age and pain score while frequencies and percentage were calculated and presented for categorical variables like ender and grade of hemorrhoids. Independent t-test and chi square test were applied to see effect modification. P value ≤0.05 was considered as significant. Results: Total number of 60 (100%) patients in the study, 32 (53.3%) were male and 28 (46.7 %) were female. Mean hospital stay in group A was 1.63 ± 0.71 and in group B means duration of hospital stay was 1.73 ± 0.74. A P value was 0.001. On stratification of data it is concluded that in group A 9 patients have no pain 6 have mild and 6 have moderate pain and 5 patients have severe pain, similarly in group B, 3 patients have no pain 2 have mild pain 1 have moderate pain and no patient have severe pain. P value for male patients was 2.65. Conclusion: This study confirms that stapled hemorrhoidectomy is associated with less postoperative pain with no effect of age and gender on outcome.