Stapler Hemorrhoidectomy v/s Open Hemorrhoiectomy: Stapler Hemorrhoidectomy v/s Open Hemorrhoiectomy

Krunal Solanki; Asit Patel; Reddemma Kanniganti; Anil Sanjava

doi:10.70284/njirm.v10i1.2497

Authors

Krunal Solanki Associate professor, Sheth LG Hospital & AMC MET Medical College, Ahmedabad, Gujarat ,India
Asit Patel Professor and Head of Unit, Sheth LG Hospital & AMC MET Medical College, Ahmedabad, Gujarat ,India
Reddemma Kanniganti Third Year Resident, Sheth LG Hospital & AMC MET Medical College, Ahmedabad, Gujarat ,India
Anil Sanjava Second Year Resident, Sheth LG Hospital & AMC MET Medical College, Ahmedabad, Gujarat ,India

DOI:

https://doi.org/10.70284/njirm.v10i1.2497

Keywords:

Stapler, Open Hemorrhoidectomy, Surgery

Abstract

Background: Haemorrhoidal disease is a painful concern to the sufferer and the treating surgeon. Several methods are available for treatment of hemorrhoids. Milligan Morgan Hemorrhoidectomy is the most widely practiced Gold standard surgical technique for the management of 3^rd and 4^th degree hemorrhoids. Staplers are novel methods known for its simplicity, ease and standardization to an anastomosis Material and Method: A case study was done to compare Open haemorrhoidectomy with Stapler Haemorrhoidectomy in context to parameters such as post-operative pain, early ambulation, post-operative complications in patients operated for stapler Hemorrhoidectomy Result: 50 patients were studied, of which 42 were male and 8 female. The postoperative pain as analysed by visual analogue scale was significantly high on the day of surgery for patients operate by open technique as compared to stapler. Conclusion: Operative time, duration of hospital stay and return to normal activity were more satisfactory with stapler haemorrhoidectomy than the open method. Hence, those who can afford the cost of surgery will definitely benefit, though it cannot be prescribed to all patients due to economic constraints. We still suggest long-term follow-up of all stapler Hemorrhoidectomy patients. [Solanki K Natl J Integr Res Med, 2019; 10(1):40-42]

References

1. Jayaram S, Colguhoun PH, Malthaner RA. StapledVersus Conventional Surgery for Hemorrhoids. Cochrane Database Syst. Rev. 2006; 18(4):CD005393.
2. 2. Milligan ETC, Morgan CN, Jones CE, Officer R.Surgical anatomy of the anal canal and operative treatment of haemorrhoids. Lancet. 1937; ii: 1119-24.
3. Beattie GC, Lam JPH, London MA. A prospectiveevaluation of the introduction of circumferential-stapled anoplasty in the management of hemorrhoids and mucosal prolapse. Colorectal Dis. 1999; 2:137-42.
4. Thomson WH. The nature of haemorrhoids. Br JSurg. 1975; 62:542-52
5. Kohlstadt CM, Weber J, Prohm P. Staplerhemorrhoidectomy. A new alternative to conventional methods. Zentralbl Chir. 1999; 124:238-43.
6. Pernice LM, Bartalucci B, Bencini L, Borri A,Catarzi S, Kroning K. Early and late (ten years) experience with circular stapler hemorrhoidectomy. Dis Colon Rectum. 2001; 44:836-41.
7. Kirsch JJ, Staude G, Herold A. The Longo andMilligan-Morgan hemorrhoidectomy. A prospective comparative study of 300 patients. Chirurg. 2001; 72:180-5.
8. Carapeti EA, Kamm MA, McDonald PJ, PhillipsRK. Double blind randomized controlled trial of effect of metronidazole on pain after day-case haemorrhoidectomy. Lancet. 1998; 351:169-72.
9. Hetzer FH, Demartines N, Handschin AE, ClavienPA. Stapled vs excision hemorrhoidectomy: long-term results of a prospective randomized trial. Arch Surg. 2002; 137:337-40.
10. Shalaby R, Desoky A. Randomized clinical trial ofStapled versus Milligan-Morganhaemorrhoidectomy. Br J Surg. 2001; 88:1049-53

Stapler Hemorrhoidectomy v/s Open Hemorrhoiectomy