Randomized trial of open hemorrhoidectomy verses stapled hemorrhoidectomy in Grade II / III Hemorrhoids

Abstract

The management of third and fourth degree hemorrhoids is usually surgical.7 The most commonly performed operation is hemorrhoidectomy.8Milligan-Morgan hemorrhoidectomy has been the most popular among the various surgical techniques performed This study is planned to compare the results and patient satisfaction in stapled hemorrhoidectomy and open hemorrhoidectomy in Grade II / III Hemorrhoids by randomized controlled trial Objectives:To compare treatment outcome in stapled hemorrhoidectomy and open hemorrhoidectomy in Grade II / III Hemorrhoidsandthe complications in stapled hemorrhoidectomy and opehemorrhoidectomy I Grade II / III Hemorrhoids In the present study, 60 patients were included .Results10 patients (16.7%) suffered from anemia. 30 patients each were operated by Open hemorrhoidectomy and Stapled hemorrhoidectomy. The mean score at 6 hours by open hemorrhoidectomy (8.4±1.5) was significantly higher as compared to by Stapled hemorrhoidectomy (7.5±1). No statistical difference was found between pain. at 12 hours, 24 hours and first defecation with respect to type of surgery performed. Conclusion In our study we came to a conclusion that stapled heamarrhoidectomy is comparatively better as compare to open heamarrhopidectomy considering the duration of surgery ,duration of hospital stay and related complications