Volume : 6, Issue : 7, July - 2017

STAPLED HAEMORRHOIDECTOMY: A NOVEL TREATMENT OF GRADE III & GRADE IV HAEMORRHOID - OUR EXPERIENCE OF 200 PATIENTS

Arun Singh, Vidur Jyoti, Akhilesh Pandey

Abstract :

<p>&nbsp;<b><span style="font-size:10.0pt;line-height:150%;font-family:&quot;Book Antiqua&quot;,serif;&#10;color:#4F81BD;mso-themecolor:accent1">OBJECTIVE</span></b><b><span style="font-size:7.5pt;line-height:150%;font-family:&quot;Book Antiqua&quot;,serif"> : </span></b><b><span style="font-size:&#10;10.0pt;line-height:150%;font-family:&quot;Book Antiqua&quot;,serif">To describe our experience with 200 patients of stapled haemorrhoidectomy for treatment of grade III &amp; grade IV hemorrhoid</span></b></p> <p class="MsoNormal" style="line-height:150%"><b><span style="font-size:10.0pt;line-height:150%;font-family:&quot;Book Antiqua&quot;,serif;&#10;color:#4F81BD;mso-themecolor:accent1">METHOD</span></b><b><span style="font-size:10.0pt;line-height:150%;font-family:&quot;Book Antiqua&quot;,serif"> : This prospective study was conducted in Max Superspeciality Hospital, Gurgaon&nbsp; from January 2011 to January 2016,&nbsp; 200&nbsp; patients who underwent stapled haemorrhoidectomy for treatment of Grade III &amp; Grade IV haemorrhoids.&nbsp; Parameters recorded included presenting complains, operative time, post operative complications, analgesic requirement, duration of hospital stay, return to work and patient satisfaction. Patients were followed up at 1 week, 3 week and then 6 monthly upto 1 year.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<o:p></o:p></span></b></p> <p class="MsoNormal" style="line-height:150%"><b><span style="font-size:10.0pt;line-height:150%;font-family:&quot;Book Antiqua&quot;,serif;&#10;color:#4F81BD;mso-themecolor:accent1">RESULT:</span></b><b><span style="font-size:10.0pt;line-height:150%;font-family:&quot;Book Antiqua&quot;,serif">&nbsp; Out of 200 patient that underwent stapled haemorrhoidectomy 152 ( 76%) were male and 48 (24 %) were female. Mean age was 40 years.&nbsp; The mean operative time was 30 min. 186 (93%) patient required only single dose of IV analgesic while 14 (7%) patient needed 2 IV analgesic in first 24 hour. There was no major intraoperative or post operative complication except for urinary retention in 22 (11%) patients. All patient received oral analgesics alone after 24 hours. 192 (96%) patient had overnight stay. Nearly 75% patient had complete resolution of symptoms and return to work within a week. Satisfaction data showed that 93% patients&nbsp; were completely satisfied with operative procedure at initial follow up, which increased to 99% after 6 month. <o:p></o:p></span></b></p> <p class="MsoNormal" style="line-height:150%"><b><span style="font-size:10.0pt;line-height:150%;font-family:&quot;Book Antiqua&quot;,serif;&#10;color:#4F81BD;mso-themecolor:accent1">CONCLUSION</span></b><b><span style="font-size:10.0pt;line-height:150%;font-family:&quot;Book Antiqua&quot;,serif"> :&nbsp; Our present study showed that stapled haemorrhoidectomy is a safe, rapid, well tolerated with&nbsp; low rate of complication, low post operative analgesic requirement, shorter hospital stay, high patient satisfaction and early return to their to the routine work&nbsp;<o:p></o:p></span></b></p>