Journal of AdvancedMedical and Dental Sciences Research

Background:Hemorrhoids, also known as piles, are swollen veins in the lower rectum or anus. The present study was conducted to examine the tissue removed during stapled haemorrhoidectomy. Materials & Methods:56 consecutive patients undergoing stapled haemorrhoidectomy of both genders were selected. Resected tissue was examined histologically according to a standardized histological protocol. The existence or lack of stratified squamous, transitional, and columnar epithelium was seen under a microscope. Results: Out of 56 patients, males were 24 and females were 32. The macroscopic appearance was triangular in 30 and rectangular in 26 cases. Mucosawas columnar mucosa in 24, transitional mucosa in 20, and stratified squamous in 12 cases. The depth of the specimen contained smooth muscle in 34, myenteric plexus, and longitudinal muscle in 22. Features of mucosa prolapse had no prolapse in 15 cases. muscularization of the lamina propria in 21, disruption of the muscularis mucosae in 6, diamond-shaped crypts in 8, surface metaplasia in 4, and thrombosis of superficial vessels in 2 cases. The outcome was excellent in 42 patients, good in 10 patients, and fair in 4 patients. The difference was significant (P< 0.05). Conclusion: In a considerable number of individuals, stapled hemorrhoidectomy leads to the excision of the internal anal sphincter or the stratified squamous mucosa.