Sayed Adil Shah, Muhammad Shah, Shaukat Hussain, Yousaf Jan.
Comparison Between Stapled & Open Hemorrhoidectomy.
Ophthalmol Update Jun ;16(3):718-21.

Background: Haemorrhoids are defined as dilated internal venous plexus with a swollen, displaced anal cushion. It is thought to be one of the most commonly spread human disease ranking at top among diseases of the rectum and large intestine. Objective: To compare the efficacy of stapled with open hemorrhoidectomy in the treatment for 3rd and 4th degree hemorrhoids. Material and Methods: This randomized controlled trial was conducted in Department of Surgery, Hayatabad Medical Complex, Peshawar from January 2016 to June 2017. In this study a total of 180 (90 in each group) patients were observed. The patients were randomly allocated in two groups by lottery method. Patients in group A were subjected to stapled hemorrhoidectomy and patients in group B were subjected to open hemorrhoidectomy. Post surgery, all the patients were advised standard post surgical medication which was included analgesics and sitz bath and was kept strictly uniform in both groups. All the patients in either group were followed up at the end of one month after treatment. Results: Our study shows that in stapled hemorrhoidectomy mean age was 42 years with SD +/- 6.4 while in open hemorrhoidectomy mean age was 43.7 years with SD +/- 6.08. In stapled hemorrhoidectomy 66% patients were male and 34% patients were female while in open hemorrhoidectomy 68% patients were male and 32% patients were female. More over stapled hemorrhoidectomy was effective in 89% patients while open hemorrhoidectomy was effective in 65 (72%) patients. Conclusion: Our study concludes that stapled hemorrhoidectomy is more effective than open hemorrhoidectomy in the treatment of 3rd and 4th degree hemorrhoids.

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