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New Indian Journal of Surgery

Volume  10, Issue 2, March-April 2019, Pages 167-173

 

Original Article

Efficacy of Stapler Hemorrhoidectomy Compared to Open Hemorrhoidectomy at a Tertiary Care Hospital
Meghraj J. Chawada1, Prashant R. Shinde2, Sudhir B. Deshmukh3
1Associate Professor, Department of General Surgery, Government Medical College, Latur, Maharashtra 413512, India. 2Senior Resident, 3Dean and Professor, Department of General Surgery, Swami Ramanand Teerth Rural Medical College, Ambajogai, Maharashtra 431517, India
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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.10219.7

Abstract

 Context: Open hemorrhoidectomy is known to cause longer duration of hospital stay, more pain post operatively compared to stapler hemorrhoidectomy. Aims: To study efficacy of stapler hemorrhoidectomy compared to open hemorrhoidectomy at a tertiary care hospital. Settings and design: Present study was hospital based prospective study carried out at Department of General Surgery, Government Medical College, Ambajogai. Methods and material: 100 cases were selected and were divided randomly into two groups of open and stapler haemorrhoidectomies with 50 cases in each group. Statistical analysis: Student t test, chi square test were used for statistical analysis. Results: Open hemorrhoidectomy took significantly more time of surgery, significantly more time for defecation, their VAS pain score was significantly more, Urinary retention, bleeding was significantly more in open group compared to stapler group. In open group significantly more patients required multiple doses of postoperative analgesia compared to stapler group. 90% of the patients in open group required postoperative hospital stay for > 2 days compared to only 62% in stapler group. 96% of patients from open group took > 7 days to return to their work compared to only 50% of the patients from stapler group. Only 10% of the patients from open group expressed that they were extremely satisfied compared to 40% of the patients from stapler group and this difference was statistically significant. Conclusion: Stapler hemorrhoidectomy is superior to open hemorrhoidectomy

Keywords: stapler hemorrhoidectomy; hospital stay; surgery; pain; symptoms


Corresponding Author : Prashant R. Shinde