Title: Comparative study of the stapled hemorrhoidectomy against conventional hemorrhoidectomy
Abstract: Introduction: Till recently Milligan – Morgan haemorrhoidectomy i.e. conventional or open haemorrhoidectomy is the most popular surgical treatment for haemorrhoids. With the advent of minimal invasive surgery, the scenario has changed. More recently, stapler haemorrhoidectomy is becoming popular as a day care procedure with minimal post-operative pain and early return to work. The present study is designed to compare make a comparative assessment of the Stapled haemorrhoidectomy against Conventional haemorrhoidectomy in the surgical treatment of haemorrhoids. Material & Methods: A hospital based Non-randomised comparative study was conducted in Dept. of Surgery of at a tertiary care hospital. A total of 50 eligible cases scheduled for haemorrhoidectomy in our hospital were included in the study. These 50 patients were then divided into two groups i.e. 25 for stapled procedure and other 25 patients for conventional procedureData was analyzed using statistical software SPSS ver. 21. Results: Mean operative time was significantly less in stapler group (39.12 vs 45.75 mins; p<0.01) while mean hospital stay was significantly longer in conventional surgery group (7.02 vs 3.01 days; p<0.01). Post-op complain of pain, immediately after surgery (6 hrs.) and at day 1 and day 3 was significantly less in stapler group (p<0.01).