Stapled and open haemorrhoidectomy; A comperative study of early outcome

Authors

  • Md Abdul Jalil Department of Surgery, Ibn Sina Medical College and Hospital, Dhaka, Bangladesh
  • Md Emdadul Hassan Department of Surgery. Ibn Sina Medical College Hospital, Dhaka, Bangladesh
  • Khadijatul Kobra Residant student (MD), Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Md Omar Faruk Department of Surgery, Ibn Sina Medical College and Hospital, Dhaka, Bangladesh
  • M Mohibul Aziz Professor, Department of Surgery, Ibn Sina Medical College and Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bjms.v21i2.58079

Keywords:

Staplerhaemorrhoidectomy; Milligan Morgan haemorrhoidectomy; Surgical procedures; Hemorrhoids; Piles

Abstract

Background: Stapled Hemorroidectomy is more popular alternative, has higher safety profile, and quickly established than the open Hemorroidectomy procedure.

Objective:The study aimed to compare between the early post-operative outcomes of open haemorrhoidectomy and stapled.

Methods:A total of 50 patients between the age group 20 to 70years who were diagnosed with grade 3 and grade 4 hemorrhoids, were divided into two groups equally. Stapled haemorrhoidectomy contains 25 Patients undergoing and Open haemorrhoidectomy contains 25 Patients. Comparative analysis between the two groups were done based on student’s T test using SPSS 24 software version. The level of significance was set to 5% (p < 0.05).

Results: There were 52% males and 48% females in Stapled haemorrhoidectomy groups and 64% males and 36% females in open haemorrhoidectomy group. 48% patients had grade 3 and 52% had grade 4 haemorrhoids in Stapled haemorrhoidectomy groups, and 44% had grade 3 and 56% had grade 4 haemorrhoids in open haemorrhoidectomy groups. In 16% of patients in stapled haemorrhoidectomy group and 24% of patients in open haemorrhoidectomy group blood loss was seen. In 12% of patients with staple haemorrhoidectomy and in 20% of patients with open haemorrhoidectomy was necessary supportive stitching. 52% of patients in open haemorrhoidectomy was observed residential prolapse but not in stapled haemorrhoidectomy patients. In the stapled group the duration of hospital stay (in days) was 1.96±0.82 days as compared to 3.98±0.78 days in the open group. Comparing to only 4% in the open group, 80% patients were discharged within 2 days in stapled group. In the open group at the end of 4 days 72% were discharged.

Conclusions: Open haemorrhoidectomy at Milligan-Morgan is not easy as stapled haemorrhoidectomyinvolves shorter operation, fewer postoperative pain and an analgesic need, shorter hospital stays and a faster rehabilitation, earlier work back, the study confirms.

Bangladesh Journal of Medical Science Vol. 21 No. 02 April’22 Page : 438-443

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Published

2022-02-25

How to Cite

Jalil, M. A. ., Hassan, M. E. ., Kobra, K. ., Faruk, M. O. ., & Aziz, M. M. . (2022). Stapled and open haemorrhoidectomy; A comperative study of early outcome. Bangladesh Journal of Medical Science, 21(2), 438–443. https://doi.org/10.3329/bjms.v21i2.58079

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Section

Original Articles