Comparative Study of Outcome of Surgical Treatment of Haemorrhoid between Open Haemorrhoidectomy and Stapled Haemorhoidopexy

Abstract

Background: Hemorrhoids are anal cushions that enlarge, bleed, thrombose, prolapse, and result in clinical complaints. Surgery is the recommended course of action for people with grade III or grade IV haemorrhoids. The purpose of this study was to evaluate the clinical characteristics, operating time, hospital stay, and postoperative complications of the two haemorrhoid surgery procedures: open hemorrhoidectomy and stapled haemorrhoidopexy. Methods: A retrospective cross-sectional study was carried out at the department of Surgery in Kumuduni Women's Medical College, Tangail from January 2020 to January 2021. The current study covered all 84 patients, 42 of which underwent open surgery and 42 of which underwent stapled treatment. Version 20 of SPSS was used for the statistical analysis. In order to compare the results between the groups, both parametric and non-parametric tests were performed. Result: The mean age of patients was 39.05±5.29 years for the stapled haemorrhoidopexy group and 39.52±5.22 years for the open hemorrhoidectomy group. Most 23(54.8%) participants were male and 19(45.2%) were female in the stapled group whereas 25(59.5%) were male and 17(40.5%) were female in the open hemorrhoidectomy group. The stapled haemorrhoidopexy group's mean ± SD of intraoperative bleeding was 48.44±.9.42 ml, the average hospital stay was 1.42±.94 days and the average surgical duration was 1.42±.94 minutes. The mean ± SD of intraoperative blood loss for the open hemorrhoidectomy group was 72.65±11.92 ml, the mean hospital stay was 3.3±2.9 days, and the mean operational time and standard deviation were 49.12 ± 6.46 minutes. It was discovered that the open group had a higher rate of urine retention. Six (14.3%) patients in the stapled group experienced post-operative bleeding, compared to nine (21.4%) in the open group. In addition to 31% of patients in the stapled group, 57.1% of patients in the open group reported pain. Conclusion: In conclusion, this study reveals ....