Jamil Ahmad, Zubair Ahmad Khan, Faseeh Shahab.
Effectiveness of Procedure for Prolapse and Hemorrhoids in Immediate Postoperative Period.
J Surg Pak Jan ;19(2):58-61.

Objective: To document the early outcome of stapled hemorrhoidopexy, the procedure for prolapse and hemorrhoids (PPH). Study design: Descriptive case series. Place & Duration of study: Rehman Medical Institute (RMI), Peshawar; from May 2012 to May 2013. Methodology: A total of 24 patients requiring surgical treatment for prolapsing hemorrhoids of degree II and III were included in the study. Outcome measures were postoperative pain, bleeding, sepsis, urinary retention, relief of preoperative symptoms, operation time and length of hospital stay. Results: Mean age of patients was 46.8 year. All surgeries were performed under spinal anesthesia. Mean surgical time was 22.5 minutes. The average distance between the stapling line and the dentate line was 2.6 cm. Postoperative pain at rest and during defecation was mild to moderate after PPH. Healing time was shorter after PPH and no patient had perioperative or postoperative bleeding. Conclusions: Postoperative pain was mild to moderate in majority of patients. There were no intraoperative or postoperative complications. PPH was a safe procedure and resulted in swift recovery and earlier return to work.

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