A Clinical and Analytical Study of Surgical and Patient-Centered Outcomes of Open Haemorrhoidectomy and Chivate's Procedure at a Tertiary Care Centre in Central India

Dr. Ashok Kalbi, Dr. Ganesh Kharkate, Dr. Raj Gajbhiye

Abstract: Background: Open haemorrhoidectomy remains the standard surgical treatment for haemorrhoidal disease, yet it is often associated with significant postoperative pain and prolonged recovery. Chivate's transanal suture mucopexy (rectopexy) is a minimally invasive, tissue-sparing alternative that aims to reduce postoperative morbidity. Objectives: This study aimed to compare surgical and patient-centered outcomes between open haemorrhoidectomy and Chivate's procedure in patients with Grade II?IV haemorrhoids. Methods: A prospective randomized study was conducted at Government Medical College, Nagpur, between November 2024 and September 2025. Sixty patients diagnosed with Grade II?IV haemorrhoids were randomized equally into two groups: Group A (open haemorrhoidectomy) and Group B (Chivate's procedure). Key outcome measures included postoperative pain (VAS), operative time, blood loss, complications, duration of hospital stay, time to return to work, and recurrence. Independent t-tests and chi-square tests were applied; p < 0.05 was considered statistically significant. Results: Patients undergoing Chivate's procedure reported significantly lower pain scores (VAS POD1: 4.3 ± 1.0 vs 7.2 ± 1.1; p < 0.001), shorter hospital stays (1.8 ± 0.6 vs 3.6 ± 0.8 days; p < 0.001), and earlier return to work (8.7 ± 2.1 vs 14.3 ± 3.2 days; p < 0.001) compared to the open haemorrhoidectomy group. Complication rates were lower but not statistically significant. Conclusion: Chivate's procedure offers substantial advantages in terms of postoperative comfort and recovery while maintaining comparable long-term outcomes. It represents a safe, simple, and cost-effective alternative to conventional open haemorrhoidectomy, particularly suited to surgical practice in India.

Keywords: Haemorrhoids, Open haemorrhoidectomy, Chivate's procedure, Transanal suture mucopexy, Minimally invasive anorectal surgery, Postoperative pain, Patient-centered outcomes, Randomized clinical study, Tissue-sparing technique

How to Cite?: Dr. Ashok Kalbi, Dr. Ganesh Kharkate, Dr. Raj Gajbhiye, "A Clinical and Analytical Study of Surgical and Patient-Centered Outcomes of Open Haemorrhoidectomy and Chivate's Procedure at a Tertiary Care Centre in Central India", Volume 14 Issue 12, December 2025, International Journal of Science and Research (IJSR), Pages: 627-631, https://www.ijsr.net/getabstract.php?paperid=SR251208115457, DOI: https://dx.doi.org/10.21275/SR251208115457