Postoperative Recovery Profile of the Patients Undergoing Conventional and Stapler Hemorrhoidectomy


Authors : Suhail Riyaz; Dr. Wasim Qadir Kar; Ishfaq Ramzan; Dr. Pankaj Kaul; Suhail Anjum Rather

Volume/Issue : Volume 9 - 2024, Issue 8 - August


Google Scholar : https://tinyurl.com/5zca4kvz

Scribd : https://tinyurl.com/27ceamae

DOI : https://doi.org/10.38124/ijisrt/IJISRT24AUG343

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Introduction: A unique technique for managing prolapsed hemorrhoids surgically involves stapled hemorrhoidectomy. Compared to open hemorrhoidectomy, it resulted in quicker convalescence duration despite a significant increase in cost. The aim of the study was to compare the effectiveness, short- and long-term outcomes, and post-operative complications of open vs staped.  Methods: 60 patients in the age group 20 to 50 years, weight 45-80 kgs, and ASA grade of I and II were elected for the surgery, diagnosed with hemmorid grad III and IV and were divided into two groups. Group I contains 30 Patients operated under Open hemorrhoidectomy/ Milligan Morgan and Group- II 30 Patients operated under Stapler hemorrhoidectomy.  Results: Results were found to be better with the staple technique. There was significantly less pain in the post- operative period with faster recovery, There was no postoperative infection in the SH patients, early resumption to walk, reduced postoperative complications of the patients operated by the SH technique as compared to open technique.  Conclusion: Stapler haemorrhoidectomy requires less intra- operative time, less hospital stay and less post-operative pain. Return to normal activity is also faster with stapler surgery then open haemmorrhoidectomy.

References :

  1. Shukla S et al. Comparison between conventional haemorrhoidectomy and stapler haemorrhoidopexy. Int Surg J. 2016 May;3(2):614-620
  2. 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.
  3. 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.
  4. Villalba H. Hemorrhoids: modern remedies for an ancient disease. Perm J 2007; 11:74–76
  5. Nisar PJ, Acheson AG, Neal KR, et al.. Stapled haemorrhoidopexy compared with conventional haemorrhoidectomy: systematic review of randomized, controlled trials. Dis Colon Rectum 2004; 47:1837-1845.
  6. Mehigan BJ, Monson JR, Hartley JE. Stapling procedure for haemorrhoids versus Milligan-Morgan haemorrhoidectomy: randomised controlled trial. Lancet 2000; 355:728-25.
  7. Mostafa M. Salama , Ahmed F.El Hossainy , Maged Rihan.(2023) Comparative study between stapled and open hemorrhoidectomy results with one-year follow-up. The Egyptian Journal of Surgery, Vol. 42 (3)
  8. Chhikara, A., Bharti, A., & Sethi, G. C. G. (2020). Comparative Evaluation of Stapled Haemorrhoidopexy versus Open (Milligan-Morgan) Haemorrhoidectomy. Int J Acad Med Pharm, 2(3),328-333.
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  10. Zhang, G., Liang, R., Wang, J., Ke, M., Chen, Z., Huang, J., & Shi, R. (2020). Network meta- analysis of randomized controlled trials comparing the procedure for prolapse and hemorrhoids, Milligan-Morgan hemorrhoidectomy and tissue-selecting therapy stapler in the treatment of grade III and IV internal hemorrhoids (Meta-analysis). International Journal of Surgery,74,53-60.
  11. Coelho, N. L., Kairala, R. C. O. M., Silva, B. L., Lemos, A. F., Zambrana, D. R. C., Silva, C. C.      F. C., ... & Daher, B. L. (2020). Comparative Analysis of Differences and Evolution of Hemorrhoidectomy Techniques. Annual Research & Review in Biology, 35(6), 60-67
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  13. Anh, N. T. T., Nhu, N. N. H., Hong, T. N., Ly, P. T., Huyen, N. T. H., Minh, D. T., ... & Tin, N.T. (2024). Quality of Life of Patients Before and After Hemorrhoid Surgery: A Single- Center Study in Vietnam. Journal of Nursing and Midwifery Sciences, 11(2).

Introduction: A unique technique for managing prolapsed hemorrhoids surgically involves stapled hemorrhoidectomy. Compared to open hemorrhoidectomy, it resulted in quicker convalescence duration despite a significant increase in cost. The aim of the study was to compare the effectiveness, short- and long-term outcomes, and post-operative complications of open vs staped.  Methods: 60 patients in the age group 20 to 50 years, weight 45-80 kgs, and ASA grade of I and II were elected for the surgery, diagnosed with hemmorid grad III and IV and were divided into two groups. Group I contains 30 Patients operated under Open hemorrhoidectomy/ Milligan Morgan and Group- II 30 Patients operated under Stapler hemorrhoidectomy.  Results: Results were found to be better with the staple technique. There was significantly less pain in the post- operative period with faster recovery, There was no postoperative infection in the SH patients, early resumption to walk, reduced postoperative complications of the patients operated by the SH technique as compared to open technique.  Conclusion: Stapler haemorrhoidectomy requires less intra- operative time, less hospital stay and less post-operative pain. Return to normal activity is also faster with stapler surgery then open haemmorrhoidectomy.

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