Comparative study of the stapled hemorrhoidectomy against conventional hemorrhoidectomy
Keywords:
conventional haemorrhoidectomy, haemorrhoids, stapler haemorrhoidectomy, post-operative painAbstract
Introduction: Till recently Milligan – Morgan haemorrhoidectomy i.e. conventional or open haemorrhoidectomy is the most popular surgical treatment for haemorrhoids. With the advent of minimal invasive surgery, the scenario has changed. More recently, stapler haemorrhoidectomy is becoming popular as a day care procedure with minimal post-operative pain and early return to work. The present study is designed to compare make a comparative assessment of the Stapled haemorrhoidectomy against Conventional haemorrhoidectomy in the surgical treatment of haemorrhoids. Material & Methods: A hospital based Non-randomised comparative study was conducted in Dept. of Surgery of at a tertiary care hospital. A total of 50 eligible cases scheduled for haemorrhoidectomy in our hospital were included in the study. These 50 patients were then divided into two groups i.e. 25 for stapled procedure and other 25 patients for conventional procedureData was analyzed using statistical software SPSS ver. 21. Results: Mean operative time was significantly less in stapler group (39.12 vs 45.75 mins; p<0.01) while mean hospital stay was significantly longer in conventional surgery group (7.02 vs 3.01 days; p<0.01). Post-op complain of pain, immediately after surgery (6 hrs.) and at day 1 and day 3 was significantly less in stapler group (p<0.01).
Downloads
References
Ellesmore S, Windsor AC. Surgical history of haemorrhoids. InSurgical Treatment of Hemorrhoids 2009 (pp. 1-5). Springer London.
Johanson JF, Sonneberg. A. The procedure of haemorrhoids & chronic Constipation. An epidemiological Study. Dis Colon Rectum 1991; 34:585-591.
Johanson JF, Sonneberg A. The procedure of haemorrhoids & chronic constipation. An epidemiological Study. Gastroentrolgy 1991;380-386.
Mehigan BJ. Monson J RT, Hartley JE. Stapleing Procedure for haemorrhoids VS milligan. Morgan haemorrhoidectomy. Randomised control tail. Lancet 2000;355:782-5.
Longo A. Treatment of haemorrhoidal disease by reduction of sucosa & haemorrhoidal prolapse with a circular stapling device: a new procedure. 6th world congress of endoscopic surgery.naples,1998;777-784.
Mehigan BJ, Monson JRT, Hartley JE. Stapling procedure for Haemorrhoids versus milligan-morgan haemorrhoidectomy: randomized controlled trial. Lancet 2000:355:779-81.
Rowsell M,Bello M,Hemingway DM.Circumferential mucosectomy versus conventional haemorrhoidectomy; randomized controllrd trial.Lancet 2000:355:779-81
Ho YH, Cheong WK, Tsang C et al. Stapled haemorrhoidectomy-cost and effectiveness: randomized controlled trail including incontinence scoring, anorectal manometry and endoanal ultrasound assessment at up to three months. Dis colon rectum 200:43:1666-75.
Roveran A, susa A, Patergnam M. Emorroideetomia can sotuatricecircolarenellapatologicaemarroideriaavanzata. G. Clir 1998;239-40.
Fazio VW. Early promise of the stapling technique for haemorrhoidectomy. Lancet 2000;355:768-9.
Bikchandani J, Aggarwal PN, Ravikant, Malik VK. Randomized controlled trial to compare the early and mid-term results of stapled versus open haemorrhoidectomy. The American Journal of surgery 2005:189:56-60.
Tjandra JJ, Chan MKY. Systematic review on procedure for prolapsed and haemorrhoids (stapled haemorrhoidopexy).Disease Colon Rectum 2007; 50:878-92.
Shukla S et al. Comparison between conventional haemorrhoidectomy and stapler haemorrhoidopexy. Int Surg J. 2016 May;3(2):614-620
Thejeswi P et al. Comparison Of Surgical Treatment Of Hemorrhoids - Stapled Versus Open And Closed Hemorrhoidectomy. The Internet Journal of Surgery. 2016; 28(2):1-8.
Watson AJ, Bruhn H, MacLeod K, McDonald A, McPherson G, Kilonzo M, Norrie J, Loudon MA, McCormack K, Buckley B, Brown S, Curran F, Jayne D,Rajagopal R, Cook JA; eTHoS study group: A pragmatic, multicentre, randomised controlled trial comparing stapled haemorrhoidopexy to traditional excisional surgery for haemorrhoidal disease (eTHoS): study protocol for a randomised controlled trial
Gravié JF, Lehur PA, Huten N, Papillon M, Fantoli M, Descottes B, Pessaux P, Arnaud JP: Stapled hemorrhoidopexy versus milligan-morgan hemorrhoidectomy: a prospective, randomized, multicenter trial with 2-year postoperative follow up. Ann Surg. 2005 Jul;242(1):29-35. [122].
Ebert KH, Meyer HJ: Results two years after stapler hemorrhoidectomy versus Milligan-Morgan procedure. Zentralbl Chir. 2002 Jan;127(1):9-14.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
