Surgical Outcomes of Haemorrhoidectomy along With Suture Haemorrhoidopexy in Multiple Haemorrhoids

Authors

  • Mohammad Ibrahim Khalil Assistant Professor, Department of Surgery, Dhaka Medical College, Dhaka, Bangladesh
  • Md Ashiqur Rahman Indoor Medical Officer, Department of Surgery, Dhaka Medical College & Hospital, Dhaka, Bangladesh
  • Adnan Ahmed Indoor Medical Officer, Department of Surgery, Dhaka Medical College & Hospital, Dhaka, Bangladesh
  • Samia Shihab Uddin Honorary Medical Officer, Department of Surgery, Dhaka Medical College & Hospital, Dhaka, Bangladesh
  • Mohammad Alauddin Indoor Medical Officer, Department of Surgery, Dhaka Medical College & Hospital, Dhaka, Bangladesh
  • ABM Khurshid Alam Professor, Department of Surgery, Dhaka Medical College, Dhaka, Bangladesh
  • AZM Mostaque Hossain Professor, Department of Surgery, Dhaka Medical College, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jcamr.v6i2.42697

Keywords:

Suture haemorrhoidopexy, Multiple haemorrhoids, Secondary position haemorrhoids

Abstract

Background: Haemorroid stapler becomes easier and safe to deal multiple and prolapsed haemorrhoid at a time.

Objectives: The purpose of the present study was to evaluate the outcome of suture haemorrhoidopexy for secondary position haemorrhoids in addition to haemorrhoidectomy for primary haemorrhoids (multiple).

Methodology: This prospective interventional study was performed in Dhaka Medical College Hospital, Dhaka, Bangladesh and in a private hospital in Gazipur, Bangladesh for over five (05) years from January 2012 to December 2016. Patients who were presented with secondary position haemorrhoids in addition to primary position haemorrhoids (multiple haemorrhoids) were included in this study. Open haemorrhoidectomy (Milligan-Morgan) followed by suture haemorrhoidopexy was done. All patients were followed up after 1, 2, 4, 8 weeks, 6 months and 1 yearly.

Result: Total 18 patients were operated. Among those immediate complications were encountered in patients in the form of per rectal bleeding 1(5.55%), pain 3(visual pain scale 4)16.66%, mucosal oedema 6(33.33%), no patient developed early postoperative prolapse. No patient developed bowel incontinence. Late complications experienced as prolapse at 1 year follow up which was treated by conservative measures. No patient developed anal stenosis. Mean operating time was 25 minutes and duration of hospital stay was 1 day.

Conclusion: Stapled haemorrhoidopexy is a safe procedure for circumferential excision of mucosa and submucosa dealing all haemorrhoids and prolapse simultaneously.

Journal of Current and Advance Medical Research 2019;6(2): 73-76

Downloads

Download data is not yet available.
Abstract
473
PDF
807

Downloads

Published

2019-08-20

How to Cite

Khalil, M. I., Rahman, M. A., Ahmed, A., Uddin, S. S., Alauddin, M., Alam, A. K., & Hossain, A. M. (2019). Surgical Outcomes of Haemorrhoidectomy along With Suture Haemorrhoidopexy in Multiple Haemorrhoids. Journal of Current and Advance Medical Research, 6(2), 73–76. https://doi.org/10.3329/jcamr.v6i2.42697

Issue

Section

Original Articles