Stapled Hemorhoidopexy vs. Open Hemorrhoidectomy: A Comparative Study of Short-Term Results

Abstract

Background: This study aimed to perform a comparative analysis of the short-term outcomes of stapled hemorrhoidopexy and open hemorrhoidectomy. The objective was to assess factors such as age distribution, length of hospital stay, postoperative discomfort, and time taken to return to regular work, to understand the relative merits of these surgical methods in treating hemorrhoids. Methods: This retrospective comparative study reviewed stapled hemorrhoidopexy and open hemorrhoidectomy cases conducted at the surgical OPD/Ward of Mardan Medical Complex from January 2023 to August 2023. Patients who underwent either procedure and were in the age groups of 15–25, 26–35, or 36–60 years met the inclusion criteria. The study analyzed patient demographics, surgical techniques, and postoperative outcomes. Statistical analyses, including chi-square and t-tests, were utilized to evaluate the significance of differences in age distribution, hospital stay length, postoperative discomfort, and time to return to regular work. Results: A total of 84 cases were included in the study. Significant differences were observed between stapled hemorrhoidopexy and open hemorrhoidectomy in terms of age distribution, hospital stay length, and time to resume normal routine work. Statistically significant differences were found in the duration of hospital stays (p=0.002), time to return to normal routine work (p=0.05), and among the 15 to 25 age group (p=0.04). While there was a trend towards significance in postoperative pain (p=0.06), further research is needed for a conclusive understanding. Conclusion: This study provides insights into the short-term outcomes of open hemorrhoidectomy and stapled hemorrhoidopexy, emphasizing the importance of recovery period, age, and hospital stay duration. These results contribute valuable new information to the field of hemorrhoid surgical treatments, aiding physicians in tailoring treatment plans to individual patient needs for optimal outcomes. Further research is recommended to explore the long-term effects and subtle aspects of postoperative pain associated with these surgeries.