Authors :
Dr. Rukaya Akhtar; Dr. Iqbal Saleem Mir; Dr. Abdul Hamid Samoon; Dr. Arshad Rashid; Dr. Refut Ara; Dr. Altaf Ahmad Bhat; Dr. Farhana Mohammad; Dr. Neha Sharma; Dr. Syed Haris Masood; Dr. Mohd Danish Bin Lateef; Dr. Iqra Bhat
Volume/Issue :
Volume 8 - 2023, Issue 2 - February
Google Scholar :
https://bit.ly/3IIfn9N
Scribd :
https://bit.ly/3STvcRP
DOI :
https://doi.org/10.5281/zenodo.7688872
Abstract :
- Hemorrhoids are amongst the most frequent
anorectal conditions affecting approximately 4 – 36% of
the general population. The study was carried out to
assess the short-term outcomes of stapled
hemorrhoidectomy such as postoperative pain, intra
operative major bleeding , post operative bleeding ,
urinary retention , perineal thrombosis , post operative
wound site infection. A total of 60 patients were included
in this study with symptomatic grade 3 and 4 prolapsed
haemorrhoids. These patients underwent stapled
hemorrhoidectomy from June 2020 to December 2022 at
the Department of Minimal access and General Surgery
Govt. Medical college Srinagar. In 47 patients (76%),
proctological examination showed grade 3 hemorrhoids.
Fourth degree hemorrhoids were found in 13 patients
(23.4 %). Mean operating time was 40min ( range 30 -
50min ). None of the patients showed removal of
incomplete doughnut ( specimen ) and major intra
operative bleeding. Post operative hospitalization time
ranged between 1-2 post operative days. 39 patients were
discharged on the first postoperative day without severe
pain , 18 patients were discharged on 2nd post operative
day without severe pain and 3 patients were discharged
on 2nd postoperative day with mild pain and on oral
analgesic. Post operative primary haemorrhage , urinary
retention , perineal thrombosis and post operative
wound site infection was found in none of the patients.
Therefore Stapled haemorrhoidectomy was found to be a
safe and quick procedure associated with less pain,
better out-come, and early recovery with shorter
hospital stay.
I
- Hemorrhoids are amongst the most frequent
anorectal conditions affecting approximately 4 – 36% of
the general population. The study was carried out to
assess the short-term outcomes of stapled
hemorrhoidectomy such as postoperative pain, intra
operative major bleeding , post operative bleeding ,
urinary retention , perineal thrombosis , post operative
wound site infection. A total of 60 patients were included
in this study with symptomatic grade 3 and 4 prolapsed
haemorrhoids. These patients underwent stapled
hemorrhoidectomy from June 2020 to December 2022 at
the Department of Minimal access and General Surgery
Govt. Medical college Srinagar. In 47 patients (76%),
proctological examination showed grade 3 hemorrhoids.
Fourth degree hemorrhoids were found in 13 patients
(23.4 %). Mean operating time was 40min ( range 30 -
50min ). None of the patients showed removal of
incomplete doughnut ( specimen ) and major intra
operative bleeding. Post operative hospitalization time
ranged between 1-2 post operative days. 39 patients were
discharged on the first postoperative day without severe
pain , 18 patients were discharged on 2nd post operative
day without severe pain and 3 patients were discharged
on 2nd postoperative day with mild pain and on oral
analgesic. Post operative primary haemorrhage , urinary
retention , perineal thrombosis and post operative
wound site infection was found in none of the patients.
Therefore Stapled haemorrhoidectomy was found to be a
safe and quick procedure associated with less pain,
better out-come, and early recovery with shorter
hospital stay.
I