The blood loss, pain scores and requirement of analgesics was significantly less in the stapled group. The mean operative time was shorter in the stapled group 24.28 minutes (4.25) versus 45.21 minutes (5.36) in the Milligan-Morgan group (P <. Grade III or IV hemorrhoids were more common in men (ie, 80.9% and 85.7% in the stapled and open group, respectively). The mean age of patients was 46.02 years (SD, 12.33) in the stapled group and 48.64 years (14.57) in the open group. The 2 techniques were evaluated with respect to the operative time, pain scores, complications, day of discharge, return to work, and level of satisfaction. All patients were operated on under spinal anesthesia. This study was designed to compare stapled technique with the well-accepted conventional Milligan Morgan hemorrhoidectomy.Īfter fulfilling the selection criteria, 84 patients were randomly allocated to the stapled (n = 42) or open group (n = 42). The new technique of circular stapler for the treatment of hemorrhoids has shown early promise in terms of minimal or no postoperative pain, early discharge from hospital, and quick return to work. There were no symptomatic recurrences till date. Average length of hospital stay was 2.7 days. ![]() Ten patients had significant post-operative pain. The mean analgesic requirement was 2.4 tramadol, 50 mg injections. Two patients had minor bleeding, and one patient experienced transient discharge. Patients with the second-degree haemorrhoids had higher rate of complication. The average duration of the operation was 29 min. Fourteen patients had co-morbid conditions. The mean age of the patients was 44.1 years. A prospective study of 50 patients (n = 50) with the second- and third-degree symptomatic haemorrhoids was done. Our aim is to study the efficacy of stapler haemorrhoidopexy with regards to role of immediate post-operative morbidity. The quest for a better understanding of the pathology of haemorrhoids resulted in the evolvement of stapler haemorrhoidopexy. Open haemorrhoidectomy has remained the gold standard for a long time with a high post-operative morbidity. Haemorrhoids is one of the most common problems seen in surgical OPD. Conclusion: Sutured Haemorrhoidopexy can be done as anĪlternative to the Traditional Milligan-Morgan Haemorrhoidectomy surgery having comparatively less post-operative pain, bleeding,Ĭomplications, duration of hospital stay and return to daily activities. ![]() Stay was 2.9☐.9 days, and the mean time to return to normal activities was 9☑.9 days. Was 36☖.3 minutes, VAS scores at 6 hours, 12 hours, and at 24 hours were 5.5☑.2, 4.7☐.9 and 3.7☐.9 respectively, mean duration of hospital In Traditional Milligan-Morgan Haemorrhoidectomy, mean duration of surgery VAS scores at 6 hours, 12 hours, and at 24 hours were 3.6☑.1, 2.2☐.8 and 1.2☐.8 respectively, mean duration of hospital stay was 2.1☑ days,Īnd the mean time to return to normal activities was 5.7☑.7 days. Results: In Sutured Haemorrhoidopexy, mean duration of surgery was 49.9 ☖.3 minutes, Inammatory bowel disease, Patients unt for surgery. Patients, associated ssure and stula, Polyps, Tumour or Solitary Rectal ulcer, Pregnancy, Haematological disease or on anticoagulants, ![]() Materials and Methods: Study design:AprospectiveĬomparative randomised study, Study area: Ramakrishna Mission Seva Pratishthan Hospital, Kolkata, Study period: July 2018 to DecemberĢ019(18 months), Sample size: 30 patients in each group, Inclusion criteria: Age ≥18 years or 60yrs, admitted in General surgery ward for any emergency procedure, sick or non-cooperative Aim and Objectives: To evaluate and compare advantages and disadvantagesīetween traditional Milligan-Morgan haemorrhoidectomy and sutured haemorrhoidopexy. New alternate method which has less post-operative pain, less wound soiling and shorter hospital stay but still not recognized because a long followup is needed and there are very few studies in medical literature. Technique of traditional hemorrhoidectomy has drawbacks like post operative pain, delayed wound healing. Background: Hemorrhoids are one of the most common benign anorectal problems presenting in the surgical OPD.
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