Comparative study between stapler hemorrhoidectomy and open hemorrhoidectomy
DOI:
https://doi.org/10.18203/2349-2902.isj20250561Keywords:
Hemorrhoids, Open hemorrhoidectomy, Stapler hemorrhoidectomyAbstract
Background: Hemorrhoids are very common condition, affecting approximately 1 in 4 individuals. The open hemorrhoidectomy, also known as the Milligan Morgan hemorrhoidectomy, is the gold normal for treating third- or fourth-degree hemorrhoids, The stapler hemorrhoidectomy was successfully introduced with enthusiasm because it is associated with low level of postoperative discomfort. The clinical result of stapler hemorrhoidectomy and open hemorrhoidectomy was compared in this research based on post-operative problems and return to regular activities.
Methods: This potential observational analytical study was led on 80 patients diagnosed with grade II-IV hemorrhoids over 18 months. Patients were owed into group A (OH, n=30) and group B (SH, n=50) based on surgeon in consultation with the patient after usual counselling. The above study arms group were studied and compared.
Results: Stapler hemorrhoidectomy demonstrated significant advantages, severity of pain was documented to be significantly lower, reduced hospital stay (2.06±0.77 days versus 3.57±0.73 days), earlier return to normal activities (1.82±0.75 versus 3.03±1.16), rate of complications in the form of pain and bleeding were significantly lower during 1st week and second week of follow up.
Conclusions: When compared to open hemorrhoidectomy, stapler hemorrhoidectomy has a better clinical outcome because it is linked to fewer postoperative complications, especially pain and bleeding, early bowel movements, early hospital discharge, and an early return to normal activities. To determine the incidence of recurrence after stapler haemorrhoidectomy, further clinical studies with long-term follow-up are necessary.
Metrics
References
Brown SR. Hemorrhoids: an update on management. Thera advances in chronic disease. 2017 Oct;8(10):141-7. DOI: https://doi.org/10.1177/2040622317713957
Fontem RF, Eyvazzadeh D. Internal Hemorrhoid.. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023.
Kibret AA, Oumer M, Moges AM. Prevalence and associated factors of hemorrhoids among adult patients visiting the surgical outpatient department in the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. PloS One. 2021;16(4):e0249736. DOI: https://doi.org/10.1371/journal.pone.0249736
Trompetto M, Clerico G, Cocorullo GF, Giordano P, Marino F, Martellucci J, et al. Evaluation and management of hemorrhoids: Italian society of colorectal surgery (SICCR) consensus statement. Tech Coloproct. 2015;19:567-75. DOI: https://doi.org/10.1007/s10151-015-1371-9
Rubbini M, Ascanelli S. Classification and guidelines of hemorrhoidal disease: present and future. World J Gastroint Surg. 2019;11(3):117. DOI: https://doi.org/10.4240/wjgs.v11.i3.117
Malyadri N, Allu VJ. A prospective comparative study of stapler hemorrhoidectomy vs open hemorrhoidectomy (Milligan Morgan) in its outcome and postoperative complications. J Surg Res. 2021;4(1):4-13. DOI: https://doi.org/10.26502/jsr.100200104
Surati K, Modi J, Damani S, Prajapati K, Shah A. Comparative study of management of hemorrhoids: stapler vs open hemorrhoidectomy. Indian J Sleep Med. 2022;15(1).
Rahman A, Hasan M, Ashraf Uddin RP. Comparative study of outcome of surgical treatment of hemorrhoid between open hemorrhoidectomy and stapler hemorhoidopexy. East Afr Schol J Med Sci. 2023;6:34-9. DOI: https://doi.org/10.36349/easms.2023.v06i02.002
Kumar M, Pankaj D, Kumar N, Abhishek K, Bhushan V, Tajdar Y, et al. A prospective study comparing stapler and open surgical technique of hemorrhoidectomy. Cureus. 2023;15(3). DOI: https://doi.org/10.7759/cureus.36304
Salama MM, El Hossainy AF, Rihan M. Comparative study between stapler and open hemorrhoidectomy results with one-year follow-up. Egypt J Surg. 2023;42(3):627-34. DOI: https://doi.org/10.4103/ejs.ejs_122_23
Sachin ID, Muruganathan OP. Stapler hemorrhoidopexy versus open hemorrhoidectomy: a comparative study of short term results. Int Surg J. 2017;4(2):472-8. DOI: https://doi.org/10.18203/2349-2902.isj20164791
Reddy YB, Kotla Balaraju DK, Lalitha K. The comparative study of conventional vs stapler hemorrhoidectomy. Int J Surg. 2020;4(3):04-7. DOI: https://doi.org/10.33545/surgery.2020.v4.i4a.528
Thejeswi PC, Kumar Y, Ram SH. Comparison of surgical treatment of hemorrhoids-stapler versus open and closed hemorrhoidectomy. Internet J Surg. 2012;28(2). DOI: https://doi.org/10.5580/2b6f
Baliga K, Chetty CV. Stapler hemorrhoidectomy versus open hemorrhoidectomy. Int Surg J. 2016;3:1901-5. DOI: https://doi.org/10.18203/2349-2902.isj20163120
Thaha MA, Irvine LA, Steele RJ, Campbell KL. Postdefecation pain syndrome after circular stapler anopexy is abolished by oral nifedipine. J Br Surg. 2005;92(2):208-10. DOI: https://doi.org/10.1002/bjs.4773
Giordano P, Gravante G, Sorge R, Ovens L, Nastro P. Long-term outcomes of stapler hemorrhoidopexy vs conventional hemorrhoidectomy: a meta-analysis of randomized controlled trials. Arch Surg. 2009;144(3):266-72. DOI: https://doi.org/10.1001/archsurg.2008.591
Watson AJ, Hudson J, Wood J, Kilonzo M, Brown SR, McDonald A, et al. Comparison of stapler hemorrhoidectomy with traditional excisional surgery for hemorrhoidal disease (eTHoS): a pragmatic, multicentre, randomised controlled trial. Lancet. 2016;388(10058):2375-85. DOI: https://doi.org/10.1016/S0140-6736(16)31803-7
Rakhonde A, Chanchlani R, Narkhede V. Hemorrhoidectomy- stapler versus conventional (open): our experience. Int Surg J. 2016;3:729-35. DOI: https://doi.org/10.18203/2349-2902.isj20160469
Downloads
Published
How to Cite
Issue
Section
