Retrospective Comparative Study between Stapled (Longo’s) Haemorrhoidopexy v/s Suture Rectopexy (Chivate’s) in Management of Haemorrhoids

Abstract

Background: Haemmoroids refer to anal cushions and when it becomes pathological, it will produce symptoms of bleeding, mucus discharge, itching, pain and prolapse. The objective of the present study was to compare between the results of Longo’s and Chivate’s procedure in terms of operative time, post-operative pain and complications, return to normal work and recurrence. Materials and Methods: In the present study 30 number of patients clinically diagnosed as second degree, third degree and fourth degree haemmrhoids are enrolled and operated. 15 number of cases were selected under Group A category and Stapled Haemorrhoidopexy was perfomed. Another 15 number of patients were put under Group B category and Suture Rectopexy was performed. The results of both these procedures were compared. Post-operative check-ups at 12 hours, 24 hours and upto 48 hours were done. Follow-up of all the cases were done at 2 weeks, 4 weeks, 8 weeks and upto a period of 6 months. Statistical Analysis: Standard statistical analysis method like SPSS (software version 200) was adopted for the analysis. The data were evaluated by comparing two groups using Chi Square Test with a P value <0.05 as significant. Results: In Stapled Haemorrhoidopexy, there was less post-operative pain as per visual analogue score, less of operating time, fewer days of hospital stay and early return to normal work. In Suture Rectopexy, there were also similar results. Hence, no significant differences in post-operative complications were found in both the procedures. There were four recurrences with stapled haemorrhoidopexy and two recurrences with sutured rectopexy in the presentstudy. Conclusion: At present many surgical procedures are practiced for haemorrhoids. However, we found that stapled haemorrhoidopexy of Longos’s offers better results in terms of fewer post-operative complications, good patient compliance and better long term results.