To study postoperative complications between circular stapler hemorrhoidopexy and conventional hemorrhoidectomy
Author(s): Dr. Anil Kumar Yadav and Dr. Nikhil Khantal
Abstract:Method: Per-rectal examination with gentle dilatation done after lubrication with xylocaine jelly. Rigid sigmoidoscopy is done to look for any pathology in recto sigmoid region. After doing preliminary painting and draping anal verge is held by three atraumatic forceps at the three points where the prolapse is smaller and the anoderm is slightly everted. Such a maneuver facilitates the introduction of circular anal dilator (CAD 33) after lubrication with xylocaine-Jelly. The introduction of the circular anal dilator-33 along with the obturator cause the reduction of the prolapse of the anoderm and points of anal mucous membrane. After removing the obturator prolapsed. All remaining prolapsing tissue should be pushed back with atraumatic forceps through the window of the circular anal dilator-33.
Result: The comparison of mean age between the open hemorrhoidectomy and stapler hemorrhoidopexy groups. The mean age in the open hemorrhoidectomy group was 41.00 ± 6.47 years and in the stapler hemorrhoidopexy group was 41.55 ± 11.38 years. The comparison of age between the two groups was found to be statistically not significant (p>0.05), showing a comparable age between the two groups. Reactionary hemorrhage was seen in 30% patients of open hemorrhoidectomy, while it was seen in 20% patients of stapler hemorrhoidopexy group. There was a statistically no significant association seen between reactionary hemorrhage and the groups (p>0.05), showing a comparable distribution of patients with reactionary hemorrhage in both the groups.
Conclusion: In stapler hemorrhoidopexy functional outcome is good as compared to conventional hemorrhoidectomy. Stapler hemorrhoidopexy is associated with less morbidity with fewer complications due to minimal tissue trauma and handling. Although the conventional hemorrhoidectomy is still performed in many higher centers but in this era of minimal invasive surgery the stapler hemorrhoidopexy is fast replacing the conventional hemorrhoidopexy.
Dr. Anil Kumar Yadav, Dr. Nikhil Khantal. To study postoperative complications between circular stapler hemorrhoidopexy and conventional hemorrhoidectomy. Int J Surg Sci 2020;4(3):68-70. DOI: https://doi.org/10.33545/surgery.2020.v4.i3b.470
