A study of surgical profile of patients with hemorrhoids at a tertiary care hospital


  • Prashant R. Shinde Department of General Surgery, SRTR Government Medical College, Ambajogai, Maharashtra, India
  • Meghraj J. Chawada Department of General Surgery, Government Medical College, Latur, Maharashtra, India
  • Sudhir B. Deshmukh Department of General Surgery, SRTR Government Medical College, Ambajogai, Maharashtra, India




Hemorrhoids, Symptoms, Surgical profile


Background: In hemorrhoids, the anal canal venous plexuses become engorged. It can lead to bleeding, thrombosis, prolapse, pain. Study of surgical profile helps to educate the patients to take proper precautions to avoid the severe forms of it. The objective of the study was to study the surgical profile of patients with hemorrhoids at a tertiary care hospital.

Methods: Present study was hospital based cross sectional study. It was carried out at a tertiary care hospital in the department of general surgery among 100 patients who presented with symptoms suggestive of hemorrhoids during the study period from 1st January 2017 to 31st October 2018.

Results: Majority of the patients 41% were in the age group of 35-45 years. The number affected by hemorrhoids was more in males i.e. 56%. Incidence of hemorrhoids was more in upper class. Incidence of hemorrhoids was less i.e. 21% among those who took only vegetarian diet. Majority of the patients (78%) presented after one year of occurrence of treatment. 54% of the patients had third grade of hemorrhoids. Bleeding was present in the majority i.e. 98% of the patients. On anorectal examination, it was found that 44% of the patients had fissure and 23% of the patients had peri anal skin tag. Anorectal examination was within normal limits in 33% of the cases.

Conclusions: Vegetarian diet may be protective against hemorrhoids. Bleeding was the most common presenting symptom. Thus, study helped to identify that being male, younger age group, non-veg diet may be the risk factors for hemorrhoids.


Burch J, Epstein D, Baba-Akbari A, Weatherly H, Fox D, Golder S, et al. Stapled haemorrhoidectomy (haemorrhoidopexy) for the treatment of haemorrhoids: a systematic review and economic evaluation. Health Technol Assess. 2008;12(8):1-193.

Hemorrhoids. Centre for Health Informatics (CHI), set up at National Institute of Health and Family Welfare (NIHFW), by the Ministry of Health and Family Welfare (MoHFW), Government of India. Available at: https://www.nhp.gov.in/haemorrhoids _mtl; Accessed on 11 May, 2016.

Total health tips. Hemorrhoids. Kiva microfinance. Available at http://totalhealthtips.org/2010/03/30 hemorrhoids-Introduction/. Accessed on 30 March 2010.

Riss S, Weiser FA, Schwameis K, Riss T, Mittlböck M, Steiner G, et al. The prevalence of hemorrhoids in adults. Int J Colorectal Dis. 2012;27(2):215-20.

Lohsiriwat V. Hemorrhoids: From basic pathophysiology to clinical management. World J Gastroenterol. 2012;18:2009–17.

Acheson AG, Scholefield JH. Management of haemorrhoids. BMJ. 2008;336:380–3.

Pigot F, Siproudhis L, Allaert FA. Risk factors associated with hemorrhoidal symptoms in specialized consultation. Gastroenterol Clin Biol. 2005;29:1270–4.

Thirumalagiri VR, Rao R. A Comparative Study of Open Haemorrhoidectomy with Minimally Invasive Procedure for Haemorrhoids (MIPH). IOSR J Health Sci. 2017;16(1):51-6.

Sachin ID, Muruganathan OP. Stapled hemorrhoidopexy versus open hemorrhoidectomy: a comparative study of short term results. Int Surg J. 2017;4:472-8.

Kara C, Sozutek A, Yaman I. Ligation under vision in the management of symptomatic hemorrhoids: A preliminary experience. Asian J Surg. 2015;38(3):121-5.

Oughriss M, Yver R, Faucheron JL. Complications of stapled hemorrhoidectomy: a French multicentric study. Gastroenterol Clin Biol. 2005 Apr;29(4):429-33.

Chauhan H, Vaishnav UG. A comparative study of Longo’s procedure without stapler versus open hemorrhoidectomy in 2nd and 3rd degree hemorrhoids. IAIM, 2016;3(2): 25-30.

George R, Vivek S, Suprej K. How long to stay in hospital: Stapled versus open hemorrhoidectomy? Saudi Surg J 2016;4:108-12.

Krishna Kishore P, Manju Sruthi B, Obulesu G. Comparative study between stapler and open hemorrhoidectomy in the management of grade III/ IV hemorrhoids. IAIM, 2016;3(9):218-21.

Shalaby R, Desoky A. Randomized clinical trial of stapled versus Milligan–Morgan haemorrhoid-ectomy. Br J Surg. 2001;88(8):1049-53.

Khan NF, Hussain Shah SS, Bokhari I. Outcome of stapled haemorrhoidectomy versus Milligan Morgan's haemorrhoidectomy. J Coll Physicians Surg Pak. 2009;19(9):561-5.

Maurya V, Jain V, Jolly S. Comparative study of stapler hemorrhoidectomy and open hemorrhoidectomy. J Med Sci Clin Res. 2017;5(4):19892-19904.

Gravié JF, Lehur PA, Huten N. Comparative study between stapler haemorrhoidectomy and open haemorrhoidectomy, Randomized Control Trials conducted in France; Ann Surg. 2005;242(1):29-35.

Baliga K, Chetty DV. Stapler hemorrhoidectomy versus open hemorrhoidectomy. Int Surg J. 2016;3:1901-5.

Thejeswi P, Kumar LY, Ram S. Comparison Of Surgical Treatment Of Hemorrhoids - Stapled Versus Open And Closed Hemorrhoidectomy. The Internet J Surg. 2012;28(2):1-8

Johanson JF, Sonnenberg A. The prevalence of hemorrhoids and chronic constipation. An epidemiologic study. Gastroenterology. 1990;98(2):380-6.

Loder PB, Kamm MA, Nicholls RJ, Phillips RK. Hemorrhoids: Pathology, pathophysiology and etiology. Br J Surg. 1994;81:946-54.

Demir H, Karaman K, Ercan M, Kocer HB, Celebi F, et al. Comparison of two procedures for symptomatic hemorrhoidal disease: Ligation under Vision and Ferguson Hemorrhoidectomy - a retrospective cohort study. Pak J Med Sci. 2017;33(1):90-5.






Original Research Articles