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  3. 23. Short Term Outcome Between Conventional VS Stapled Hemorrhoidectomy in Patients Having 3rd and 4th Degree Hemorrhoids
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23. Short Term Outcome Between Conventional VS Stapled Hemorrhoidectomy in Patients Having 3rd and 4th Degree Hemorrhoids

Agha Taj Mohammed1, Bilal Rasool1, Rasool Bux Behan1 and Sohail Yousuf2

ABSTRACT

Objective: To compare the short term outcome between conventional hemorrhoidectomy and stapled hemorrhoidectomy in the treatment of 3rd and 4th degree haemorrhoids in the term of postoperative complications, pain and hospital stay.

Study Design: Comparative study

Place and Duration of Study: This study was conducted at the Department Surgery and OPD at Liquate Medical University Hospital Hyderabad/Jamshoro with 6 months duration from November 2015 to April 2016.

Materials and Methods: All the cases more than 18 years of age, both genders and diagnosis of with Grade 3 or 4 hemorrhoids were selected. Brief history of duration of illness and examination including proctoscopy were carried out. Patients were randomly divided into two groups, group 1 cases were treated with conventional hemorrhoidectomy, and patients in group two were treated with the stapled hemorrhoidectomy. Surgeries were performed by consultant general surgeons. All information was recorded in Performa. 

Results: In this study 64 patients with 3rd and 4th degree hemorrhoids were selected and equally divided in two groups, 32 were underwent conventional hemorrhoidectomy and 32 were underwent stapled hemorrhoidectomy, most common age groups were 31-40 years and 40-50 years in 34.37% and 37.50% patients respectively. Male gender was in majority 70.31%. According to the clinical presentation bleeding was the most common in 43(67.18%) cases following by Discharge, Itching, Prolapse and Others with percentage of 35(54.68%), 21(32.81%), 14(21.87%) and 30(46.87%)respectively. Staples hemorrhoidectomy showed good efficacy as compare to conventional hemorrhoidectomy, as well as moderate and severe pain were significantly more in patients those were underwent conventional haemorrhoidectomy, P-value 0.002. Bleeding and wound infection were high in conventional group p-value 0.01 and hospital stay was also significantly shorter in stapled group from conventional group.

Conclusion: Stapled haemorrhoidectomy is a choice surgical treatment option for 3rd and 4th degree hemorrhoids, this technique showed fewer complications, less postoperative pain and hospital stay as compare to conventional haemorrhoidectomy.

Key Words: Haemorrhoids, Stapled haemorrhoidectomy, Conventional haemorrhoidectomy

Citation of article: Mohammed AT, Rasool B, Behan RB, Yousuf S. Short Term Outcome Between

Conventional VS Stapled Hemorrhoidectomy in Patients Having 3rd and 4th Degree Hemorrhoids. Med

 

Forum 2017;28(2):86-89.