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Volume 3 Issue 4 (October - December, 2015)

Original Articles

Conventional vs stapled haemorrhoidectomy- A comparative study
Dr Sanjeev Gupta, Dr Ashwani Kumar Pandey

Background: Hemorrhoidal disease is one of the most common anorectal disorders, affecting more than 15 million people annually. The present study compared the conventional vs stapled haemorrhoidectomy. Materials & Methods: 48 patients of grade II or grade III hemorrhoids were divided into 2 groups. Group I (24) patients were managed with surgical ligation and excision of haemorrhoids i.e. by the Milligan-Morgan technique and group II (23) with stapled haemorrhoidectomy (Longo’s technique). Results: Acute retention of urine was seen in 6 in group I and 3 in group II. Hospital stay was 4.5 days in group I and 2.6 days in group II and analgesics required during hospitalization as 12.5 days in group I and 4.2 days in group II. The mean analgesics requirement was 18.4 in group I and 10.2 in group II, post operative complications were secondary hemorrhage seen in 3 in group I and reaction hemorrhage seen in 2 in group I and 1 in group II and fecal incontinence seen 1 in group I. Conclusion: Stapled haemorrhoidectomy is superior technique than the conventional haemorrhoidectomy in patients with hemorrhoids.

 
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