STAPLED HAEMORRHOIDECTOMY: A NOVEL TREATMENT OF GRADE III & GRADE IV HAEMORRHOID - OUR EXPERIENCE OF 200 PATIENTS

Arun Singh; Vidur Jyoti; Akhilesh Pandey

Volume : VI, Issue : VII, July - 2017

STAPLED HAEMORRHOIDECTOMY: A NOVEL TREATMENT OF GRADE III & GRADE IV HAEMORRHOID - OUR EXPERIENCE OF 200 PATIENTS

Arun Singh, Vidur Jyoti, Akhilesh Pandey

Abstract :

OBJECTIVE : To describe our experience with 200 patients of stapled haemorrhoidectomy for treatment of grade III & grade IV hemorrhoid

METHOD : This prospective study was conducted in Max Superspeciality Hospital, Gurgaon from January 2011 to January 2016, 200 patients who underwent stapled haemorrhoidectomy for treatment of Grade III & Grade IV haemorrhoids. Parameters recorded included presenting complains, operative time, post operative complications, analgesic requirement, duration of hospital stay, return to work and patient satisfaction. Patients were followed up at 1 week, 3 week and then 6 monthly upto 1 year.

RESULT: Out of 200 patient that underwent stapled haemorrhoidectomy 152 ( 76%) were male and 48 (24 %) were female. Mean age was 40 years. The mean operative time was 30 min. 186 (93%) patient required only single dose of IV analgesic while 14 (7%) patient needed 2 IV analgesic in first 24 hour. There was no major intraoperative or post operative complication except for urinary retention in 22 (11%) patients. All patient received oral analgesics alone after 24 hours. 192 (96%) patient had overnight stay. Nearly 75% patient had complete resolution of symptoms and return to work within a week. Satisfaction data showed that 93% patients were completely satisfied with operative procedure at initial follow up, which increased to 99% after 6 month.

CONCLUSION : Our present study showed that stapled haemorrhoidectomy is a safe, rapid, well tolerated with low rate of complication, low post operative analgesic requirement, shorter hospital stay, high patient satisfaction and early return to their to the routine work