Complications of Stapled Haemorrhoidectomy for Primary Haemorrhoid – Our Experience in ShSMCH

Abstract

Objective: The aim of the study was to cheek the rate of significant complications amongst the patients undergoing Stapled haemorrhoidectomy. This study reflects our experience with Stapled haemorrhoidectomy in our Population.

Methods: Two hundred and ninety patients with primary hemorrhoid of different degree underwent staple Hemorrhoidectomy in ShSMCH since January 2011 to December 2016. All patients were evaluated by history, clinical examination and proctosigmoidoscopy. They were followed up post operatively at 1, 3, 6, 12, 15, 18 Month.

Result : Regarding presenting symptoms (pain less) per rectal bleeding was the main symptom (89%). Bulk of the pt were 3^rd degree(50.16%). Regarding post operative complication – Urgency of defecation was most frequent (19%). Others were Urinary retention (4.5%), anal pain (4.01%), reactionary hemorrhage (4.01%). Regarding late post operative complication most frequent was mild pain (3.34%); others were – flatus incontinence, stenosis, recurrent haemorrhoid, fissure.

Conclusion : Stapled haemorrhaidectomy is widely used, quick, safe and effective method of treating all degree of primary hemorrhoid with some complications. Therefore surgeon should be well aware of the type and post operative complications

J Shaheed Suhrawardy Med Coll, December 2017, Vol.9(2); 78-82