Stapled hemorrhoidopexy: The Aga Khan University Hospital Experience

Ali, Athar; Chawla, Tabish; Turab, Pishori

doi:10.4103/1319-3767.45358

Cited by 5 publications

(2 citation statements)

References 15 publications

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“…Eric Touzin et al 11 found similar complications in the early post-operative period. Another study by Ali Athar et al 15 showed that early post-operative complications are much less in stapled group. Carlos Walter Sobrado et al, 16 Shalaby et al 18 and Mehigan BJ et al, 19 also showed similar results.…”

Section: Discussionmentioning

confidence: 95%

“…Stapled haemorroidopexy obtains circumferential resection of rectal mucosa in the anal canal, thus preserving the integrity of haemorrhoidal cushions and simultaneously restoring the anal mucosa, the haemorrhoidal cushions and anoderma upwards in the anal canal to their original position thus, restoring normal physiology resulting in less complications. Mean pain scores in several studies like Franc H. Hetzer et al 8 Jean Francois et al 13 , Antonio Lacerda-Filho et al, 14 Ali Athar et al, 15 Carlos Walter Sobrado et al 16 and Sergio Carlos Nahas et al 17 has shown that post-operative pain is less after stapled technique.…”

Section: Discussionmentioning

confidence: 99%

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Comparitive Study Between Stapled Hemorrhoidopexy and Conventional Hemorrhoidectomy

Sudhir¹,

Ramachandra²,

Vinayaka³

2014

jemds

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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.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Comparitive Study Between Stapled Hemorrhoidopexy and Conventional Hemorrhoidectomy

Sudhir¹,

Ramachandra²,

Vinayaka³

2014

jemds

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Predisposing and aetiologic factors for haemorrhoidal recurrence after procedure for prolapse and haemorrhoids (PPH)

Avgoustou¹

2016

Hellenic J Surg

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Second and Third Degree Haemorrhoids: Management With Minimally Invasive Procedure for Haemorrhoid (Miph) and Outcome

Poonia¹

2014

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The present study was carried out to study the management of second and third degree haemorrhoids with Minimally Invasive Procedure for Haemorrhoid (MIPH) and its outcome. Twenty five cases were included in the study. The major aims of the study were to evaluate the merits and demerits of Minimal Invasive Procedure for management of second and third degree haemorrhoids by using haemorrhoidal set and to study the efficacy of MIPH (Stapled haemorrhoidopexy) in terms of duration of surgery, early complications, time of ambulation, mean hospital stay, time of rejoin to work and late complications. The study was carried out in MB Government Hospital associated with R.N.T. Medical College, Udaipur. Patients admitted in different surgical wards were taken for study. Material and method used in this study include various laboratory investigations including CBC, BT, CT, Blood Sugar, S-urea, S-creatinine, HIV, HBsAg, Urine complete, X-Ray Chest and ECG. Special Investigation including Per rectal examination for anal sphincter tone, pain, any rectal growth, prolapse, bleeding, discharge and Proctoscopy to evaluate positions and grades of piles. Statistical analysis of various data done and maximum incidence thirty six percent of second and third degree haemorrhiods was found in 31-40 year age group. Males were predominantly affected as compared to females. Patients with second and third degree of haemorrhoids mostly visited hospital for bleeding per rectum and prolapse. Other symptoms about which patient were concerned were pain, itching and discharge and about half of the patients had associated history of constipation. Most of patients seek surgeons attention after a period of about one month. Twenty percent patients had positive family history of haemorrhoid. Eighty eight percent patients had taken some treatment in the form of laxative and ointment. Eight percent patients had undergone sclerotherapy and twelve percent patients had undergone ligation previously. Sixty eight percent patients had piles at three positions. Patients showd almost similar distribution of piles in relation to their positions at 3 O'Clock, 7 O'Clock & 11 O'Clock however secondary piles were found in eight percent patients. Forty percent patients were having second degree haemorrhoids and sixty percent patients had third degree haemorrhoids. Minimally Invasive Procedure for Haemorrhoid (MIPH) were performed in all 25 patients and fifty two percents were operated in 21-30 minutes. Twenty eight percent patients developed one or more early complication including bleeding, retention of urine, pain and prolapse.Seventy two percent patients became ambulatory within 6-12 hours after MIPH surgery. On first dressing no complaint was reported in ninty two percent patients. Eighty four percent patients were discharged on 2 nd day after MIPH. Mean hospital stay was 2.4 day. Sixty percent patients joined their work on 4-5 days after operation. Anal Stricture in four percent patients, tenesmus in eight percent patients and recurrence in four percent...

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Stapled hemorrhoidopexy: The Aga Khan University Hospital Experience

Cited by 5 publications

References 15 publications

Comparitive Study Between Stapled Hemorrhoidopexy and Conventional Hemorrhoidectomy

Comparitive Study Between Stapled Hemorrhoidopexy and Conventional Hemorrhoidectomy

Predisposing and aetiologic factors for haemorrhoidal recurrence after procedure for prolapse and haemorrhoids (PPH)

Second and Third Degree Haemorrhoids: Management With Minimally Invasive Procedure for Haemorrhoid (Miph) and Outcome

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