Venkatapuram Mahidhar Reddy1, Madan Mohan Reddy Paluru2, Sreeram Sateesh3
INTRODUCTION: Hemorrhoidectomy is one of the most commonly performed anorectal operations. The present study was designed to compare the results of stapler haemorrhoidectomy (SH) with Milligan- Morgan open Hemorrhoidectomy (OH). We evaluated the safety and effectiveness of SH and OH. Additional endpoints include operative time, postoperative pain, duration of hospital stay and time taken to resume normal work.
METHODS: Patients who underwent surgery for symptomatic Grade III and Grade IV haemorrhoids were included in this study. Patients were divided in to two groups, SH and OH groups depending up on the type of surgery performed. Primary end points were operative time, postoperative pain, post-operative hospital stay and time taken to resume normal works.
RESULTS: A total of 70 patients underwent haemorrhoidectomy, 21 females and 49 males, 38 underwent SH and 32 underwent OH. The mean age of patients who underwent SH and OH was equal, duration of surgery, pain scores measured at 24 hours, 48 hours, 72 hours and 7 days, duration of hospital stay and time taken to resume normal works were low in SH group when compared to OH group.
CONCLUSION: The findings of our study confirm that SH is associated with shorter duration of surgery, less postoperative pain, shorter duration of hospital stay and a quicker recovery, earlier return to work as compared with OH. The procedure is not associated with major post-operative complications. There is no recurrence, residual prolapse or incontinence in the average follow up period of one year. We conclude that SH is safe with many short-term benefits.
