Early Outcomes of Stapled Haemorrhoidopexy for 3RD Degree Haemorrhoids in Diabetic Patient

Abstract

Background: Stapled haemorrhoidopexy is a newer modality representing a paradigm change in the treatment of haemorrhoids with better short-term outcomes, shorter operating times and less post-operative pain. Though short- term effects of stapled haemorrhoidopexy are well documented in general haemorrhoid patients, but till date, no study focused the outcome of diabetic patients. Aim of the Study: The aim of the study was to determine the short-term outcome of stapled haemorrhoidopexy in diabetic patients. Methods: This prospective observational study was conducted at the Department of Surgery in BIRDEM General Hospital, for one year of period following approval of this protocol. A total of 30 patients with diabetes mellitus and 3rd degree haemorrhoid was enrolled in this study. Written informed consent was ensured from each of the participants. A detailed history and thorough clinical examination were carried out in each patient. All patient underwent stapled haemorrhoidoplexy. Follow up was taken at 24 hours of operation, 14th POD, after 1 month, after 3 months and after 6 months. All information was recorded in separate case record form. After collection of all the required data, analysis was done by SPSS 23.0. Results: Mean age of the study participants was 45.53±3.91 (SD) years with a majority in 40-49 years of age. About 70% of the study population were male and 30% were female. Post-operative mean VAS score was 1.83±1.05 (SD) after 24 hours of operation and 0.60±0.89 after 2 weeks. About 66.7% patients experienced single episode of per-rectal bleeding after 24 hours of surgery, 20.7% had 2 episodes and 6.7% had 3 episodes. Mean hospital stay duration was 1.17±0.46 (SD) days. Average usual daily resumption of all patients was 6.90±2.37 (SD) days. Conclusion: The average age of the studied patients was 45 years with clear male predominance. short operative time, less post-operative pain, quicker return from hospital and early return to their normal activity was