Summary:
Background: Haemorrhoids are usually managed by open
haemorrhoidectomy which is associated with postoperative
pain, prolong hospital stay, longer convalescence and late
return to normal activities. Stapled haemorrhoidopexy is a
newer alternative for the treatment of haemorrhoid. The
present study was designed to evaluate this technique in
terms of duration of surgery & hospital stay, complications,
convalescence, time return to normal activities, cost
effectiveness and patient’s satisfaction.
Materials and methods: One hundred and sixty patients of
either sex who fulfilled the criteria were included in this
study. More than 90% of the patients were in grade 3 & 4.
All data were prospectively collected and examined. The
patients were evaluated in terms of demographic properties,
complaints on admission and postoperative complication.
Results: 69.4% were male and 30.6% were female. Mean
age was 40.93 years. Grade 3 haemorrhoid was present in
73.75% cases, Grade 4 was 18.12% cases, Grade 1 and Grade
2 were in 8.13% cases. The mean duration of surgery was 30
minutes. The mean duration of hospitalization was 36 hours.
Intraoperative bleeding was observed in 9.38% patients.
Reactionary haemorrhage was seen in 3.75% patients.
Postoperative mild pain in 3.12% patients and residual
prolapse in 1.25% cases.
Conclusion: Stapled haemorrhoidopexy is safer alternative
to open haemorrhoidotectomy with many short and long
term benefits.
Keywords: Haemorrhoids, Stapled haemorrhoidopexy, Open
haemorrhoidectomy (Milligan- Morgan operation)
(J Bangladesh Coll Phys Surg 2020; 38: 126-134)
DOI: https://doi.org/10.3329/jbcps.v38i3.47060