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Comparative Studies | Surgery | India | Volume 13 Issue 1, January 2024

A Comparative Study between Stapler and Open Surgical Techniques for Grade III & IV Hemorrhoids: Insights from a Tertiary Care Centre

Dr. Nithin Bangaradka | Dr. Rajiv Maharaj | Dr. Anand Vijai | Dr. Nalakilli V.P | Dr. Palanivelu C

Abstract: Hemorrhoids, a prevalent ano-rectal condition, affects approximately 30% of the ano rectal conditions in general population. While initially normal anal cushions, they can become pathological, leading to symptoms like anal bleeding, pain, and prolapse. In 1998, Dr. Antonio Longo introduced stapled hemorrhoidectomy as an alternative to conventional surgical methods. This procedure aims to reduce the size of internal hemorrhoids by interrupting their blood supply. We studied A total of 50 patients with grade III and IV hemorrhoids were randomly assigned to either open hemorrhoidectomy or stapled hemorrhoidectomy groups [nonprobability purposive sampling]. Of 50 patients, 38 (77.5) were males and 12 (22.5%) were females with a male: female ratio being 3:1. The operating time and hospital stay were much less in the stapler hemorrhoidectomy group as compared to the open procedure group. Also, postoperative pain (visual analogue scale) was less in the stapler hemorrhoidectomy group with 40% of patients presenting with pain at one week, 20% at one month and 8% at three months in the open hemorrhoidectomy group whereas 12% presenting as pain in one week, 4% presenting at one month and none presenting at three months in the stapler hemorrhoidectomy group. There was repeat bleeding seen in 12% of cases at three months in the open hemorrhoidectomy group as compared to the stapler hemorrhoidectomy group where no recurrence was found at three months follow-up. Our study underscores the safety and efficacy of stapler hemorrhoidectomy. This technique boasts fewer complications and improved patient compliance, making it a promising option for managing third and fourth-degree hemorrhoids. Skillfully performed stapler hemorrhoidectomy can lead to better outcomes and enhanced reliability in hemorrhoidal surgery.

Keywords: Hemorrhoids; stapled hemorrhoidectomy; open hemorrhoidectomy

Edition: Volume 13 Issue 1, January 2024,

Pages: 900 - 903