A Comparative study of Stapler hemorrhoidectomy versus Open hemorrhoidectomy in its Outcome and Postoperative complications

Abstract

Background: Hemorrhoids are one of the most common benignanorectal disorders. Stapled hemorrhoidectomy (SH) has been considered as novel technique in the surgical treatment of prolapsed hemorrhoids. Relevant papers, e.g., randomized controlled trials, review, and meta-analysis from different parts of the world have shown stapled hemorrhoidectomy is less painful and it is associated with quicker recovery, but SH involves substantial added cost. Aim: Of the study was to compare the outcome and postoperative complications in patients with grade III and IV Hemorrhoids who underwent hemorrhoidectomy with either stapler hemorrhoidectomy or open hemorrhoidectomy (Milligan Morgan). Methods: 150 patients having grade III or IV Hemorrhoids & who full filled the criteria were included in the study from March 2020 to March 2022. 75 pts underwent for stapler and other 75 pts underwent for open Hemorrhoidectomy. All patients were reviewed immediately after surgery and at 1,3,6 weeks and 6 months post-operatively. The two groups were compared for duration of surgery ,hospital stay, return to work and postoperative complications. Results: Stapler hemorrhoidectomy technique was quicker to perform in comparison with Open hemorrhoidectomy (P value <0.001). Hospitalization and duration of resumption to daily activity was less in Stapler hemorrhoidectomy group as compared to Open hemorrhoidectomy group ( p value < 0.001). Conclusion: Stapler hemorrhoidectomy safer alternative to open hemorrhoidectomy in terms of lesser operative time and intra and postoperative bleeding and lower incidence of various post-operative complications was observed.