Assessment of the Success Rates of Stapled Hemorrhoidopexy Intervention for Grade III and IV Hemorrhoids among Adult Patients of North India: An Observational Hospital-based Study
Abstract
Introduction: Hemorrhoid disease therapy is effectively been treated with conventional excisional hemorrhoidectomy. Stapled
hemorrhoidopexy (SH) revolutionized the traditional surgical approach by the introduction of the theory of dealing with the rectal
mucosal prolapse by resecting a mucosal cylinder above the dentate line by means of mechanical stapling. It is a non-excisional
approach for the surgical treatment of hemorrhoid disease.
Materials and Methods: Ethical clearance was obtained from the institution. A total of 100 adult patients with Grade III/IV
hemorrhoids indicated for surgery were recruited for the study purpose. Data collected were post-operative pain in the form of
VAS scale, immediate complications, duration, or length of stay in the hospital along with the time to resume work again. SPSS
17.0 was used to carry out the analysis. All P < 0.05 were considered to be statistically significant.
Results: The mean age of the study group was 45 ± 14.93 years. The mean length of hospital stays, postoperatively for 21%
subjects, was mere 1 day; however, it was 2 days for the rest of population studied. The only complication was with 2% of the
study population having excessive intraoperative bleeding. The mean time to return to work was 8 days. About 77% of the
patients resumed their work within 8 days of surgery.
Conclusion: Within the given limitations of the study, we can conclude that SH is a successful procedure for Grade-III/IV
hemorrhoids in terms of immediate post-operative complications, pain as well as the duration of hospital stay.
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