SURGICAL THERAPY OF THE HAEMORRHOIDS: A COMPARISON BETWEEN STAPLED AND TRADITIONAL HEMORRHOIDECTOMY

Abstract

ABSTRACT

Background: Up until recently, the most common surgical haemorrhoid therapy was conventional/Milligan- Morgan hemorrhoidectomy. However, with the advent of minimally invasive surgery, stapler hemorrhoidectomy became a popular therapeutic method with few problems.

Aim: The purpose of this study is to evaluate the surgical therapy of haemorrhoids by comparing stapled and standard hemorrhoidectomy.

Methods: Two groups of fifty participants each were created from the 100 subjects who were scheduled for hemorrhoidectomy; group I received stapled hemorrhoidectomy, whereas group II got standard hemorrhoidectomy. At the first and third weeks following surgery, all participants had evaluations for anal stenosis, anal incontinence, urine retention, wound infection, bleeding, and postoperative discomfort.

Results: Compared to stapler hemorrhoidectomy, the traditional technique's mean operational time was 45.77±5.88 minutes longer. When comparing traditional hemorrhoidectomy to stapler hemorrhoidectomy, VAS values on days 1 and 3 were considerably higher (p<0.001). Conventional hemorrhoidectomy resulted in a substantially longer hospital stay (mean stay duration of 7.22±2.4 days versus 3.01±2.1 days with p<0.01) than stapler hemorrhoidectomy. Compared to traditional hemorrhoidectomy, stapler hemorrhoidectomy resulted in a shorter recovery period (p<0.01). Subjects undergoing conventional hemorrhoidectomy had significantly higher postoperative bleeding rates; additionally, 4% (n=2) of these patients experienced anal stenosis; 8% (n=4) experienced anal incontinence; and 8% (n=4) experienced wound infection resulting from their procedure.

Conclusion: With a quicker return to regular activities, a stapler hemorrhoidectomy results in less postoperative discomfort, a shorter hospital stay, and less operating time. For those having hemorrhoidectomy, stapler hemorrhoidectomy is thus advised.