Dhruvesh Sheth, Nirmal Patel, Jatin Patel, Pratap Chauhan

A COMPARATIVE STUDY OF OPEN HAEMORRHOIDECTOMY AND STAPLED HAEMORRHOIDOPEXY

  • General Earth and Planetary Sciences
  • Water Science and Technology
  • Geography, Planning and Development
  • Social Sciences (miscellaneous)
  • Sociology and Political Science
  • Social Psychology
  • General Earth and Planetary Sciences
  • General Environmental Science
  • General Medicine
  • General Medicine
  • General Materials Science
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Introduction: Haemorrhoids or 'Piles' is a frequently observed disease in surgical practice. Various nonsurgical and surgical treatments are available. Open haemorrhoidectomy (Milligan-Morgan) is a widely used procedure. A recent novel technique called 'Stapled haemorrhoidectomy', rst described and performed by Italian surgeon Antonio Longo is gaining worldwide recognition for its benets. Aim: To compare Stapled haemorrhoidectomy with open (Miligan Morgan) haemorrhoidectomy in terms of post-operative pain, resumption of daily activity, hospital stay, postoperative bleeding, urinary retention and anal incontinence. Study Design: Prospective, comparative study from May 2022 to April 2023. Materials and Methods:A total of 80 patients between the age group of 20 and 70 years, diagnosed to have grade III or IV haemorrhoids were included in the study, divided into 2 groups, Group 1 undergoing Open haemorrhoidectomy (40 patients) and Group 2 undergoing Stapled haemorrhoidectomy (40 patients). Post operatively patients of both groups were reviewed at the time of discharge. All patients were given a questionnaire and data collected verbally and analysed statistically. Comparative analysis between the two groups were done based on Independent students 't' test. Results: The mean age of patients in Open haemorrhoidectomy (OH) group was 42.2 and Stapler haemorrhoidectomy (SH) group was 38.5. 86.6% were males and 13.4% were females in OH group, 90% were males and 10% were females in SH group. Post-operative bleeding in both OH and SH group had an incidence of 2%. Post-operative urinary retention was seen in 4% and 8% in OH and SH group respectively. In both groups, post-operative anal incontinence was not seen. Based on Independent sample 't' test the post-operative pain, Post-operative hospital stay and duration of resumption of daily activity was less in SH group compared to OH group and statistically signicant with p<0.001. However, complications like post-operative bleeding, urinary retention and anal incontinence are almost same in both the groups Conclusion: Stapled Haemorrhoidectomy is less painful with shorter duration of hospital stay and resumption of daily activity is faster than the open haemorrhoidectomy. However, long term follow-up is required to know the recurrence rate in stapled haemorrhoidectomy

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