Assessment of Post-operative Complications, Recurrence Rate, and Patient Satisfaction After Undergoing Stapled Hemorrhoidopexy Intervention for Grades III and IV Hemorrhoids among Adult Patients of North India

  • Niraj Kumar ESI Hospital, Okhla, New Delhi, India,
  • Bhumika Narang ESI Hospital, Okhla New Delhi, India
  • Rabi Shankar Singh ESIC PGIMSR, New Delhi, India,
  • Shakti Pratap Singh DDU Hospital, New Delhi, India
  • Col M M R Shankar Army College of Medical Sciences and BaseHospital, New Delhi, India
  • Shankar Prasad Singh Sir Ganga Ram Hospital, New Delhi, India
Keywords: Complications, Hemorrhoids, Stapled hemorrhoidopexy, Surgery


Introduction: Hemorrhoids are one of the most frequent anorectal disorders encountered by clinicians in day-to-day practice
and constitute about 50% of colorectal investigations. Stapled hemorrhoidopexy (SH) represents the first dramatic change in
the treatment of hemorrhoids. Since its introduction, some researchers have raised concerns about the recurrence rate as well
as patient satisfaction. Hence, the present study was carried out to evaluate recurrence rate and patient overall satisfaction
with SH procedure at a tertiary care center in North India.
Materials and Methods: Ethical clearance was obtained at the start of the study from the Institutional Review Board. A total
of 100 patients with Grade III/IV hemorrhoids were included. SH was performed as per the standard procedures. Data were
collected on complications developed post operatively at different follow-ups and an overall patient satisfaction. The data were
coded and entered into Microsoft Excel 2010.
Results: Post-operative complications we observed at the 1st week were bleeding and discharge in 5%, pain in 9%, and urinary
retention in 11% of enrolled cohorts. At 1 month, hematoma formation was observed in 7.3% of total remaining patients (n = 96)
and 5.2% still had post-operative pain. At 6 months, pruritus and stenosis were witnessed in 4.3% and 1.1%, respectively, of
total remaining patients (n = 93). Recurrence rate was found 4.3% at the end of 6 months. The overall complication rates at 1
week, 1 month, and 6 months follow-up were 25%, 12.5%, and 9.7%, respectively.
Conclusion: The findings of our study confirm that SH is associated with a high patient satisfaction and with a lesser postoperative
complications. We conclude that SH is safe with many short-term benefits.

Author Biographies

Niraj Kumar, ESI Hospital, Okhla, New Delhi, India,

Surgical Specialists and Laparoscopic Surgeon, Department of General Surgery

Bhumika Narang, ESI Hospital, Okhla New Delhi, India

Senior Resident, Department of General Surgery

Rabi Shankar Singh, ESIC PGIMSR, New Delhi, India,

Consultant Surgery

Shakti Pratap Singh, DDU Hospital, New Delhi, India

Senior Resident, Department of General Surgery

Col M M R Shankar, Army College of Medical Sciences and BaseHospital, New Delhi, India

Associate Professor, Army College of Medical Sciences

Shankar Prasad Singh, Sir Ganga Ram Hospital, New Delhi, India

Senior Resident in Sir Ganga Ram Hospital


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