Comparison between conventional haemorrhoidectomy and stapler haemorrhoidopexy

Abstract

Background:To make comparison between Stapled haemorrhoidopexy and conventional haemorrhoidectomy in terms of operating time, postoperative pain and bleeding and other complications, hospital stay and time to return to work.

Methods: It is prospective study including 45 patients divided into two groups, first group consists of 25 patients of having conventional (open and closed) haemorrhoidectomy and other group consists of 20 patients having stapler haemorrhoidopexy carried out in Gandhi medical college associated Hamidia Hospital, Bhopal, Madhya Pradesh, India.

Results:The duration of surgery was 45 minutes in conventional group and 40 minutes for stapler haemorrhoidectomy. The average duration of hospital stay for the stapled group was 3 days and for the conventional group it was 6 days. The average time to return to work in the stapled group was 10 days as against 20 days in the conventional group. There is considerable decrease in pain in stapler group both in immediate post-operative and during follow up in comparison to conventional group. There is less complains of bleeding episodes in stapler group having nearly half of the patients having bleeding episodes in comparison to conventional group. There is no significant difference in recurrence rate between two groups.

Conclusions:We conclude that stapled haemorrhoidopexy is associated with less postoperative pain and morbidity than conventional techniques. Staplerhaemorrhoidopexy has decreased operating time, hospital stay and duration of return to work as compared to conventional haemorrhoidectomy. There is no significant difference found in terms of recurrence in both the procedures. So stapler haemorrhoidopexy is better procedure in treatment of grade II and grade III haemorrhoid in comparison to conventional haemorrhoidectomy.