World Journal of Laparoscopic Surgery

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VOLUME 15 , ISSUE 1 ( January-April, 2022 ) > List of Articles

Original Article

Comparative Study of Management of Hemorrhoids: Stapler vs Open Hemorrhoidectomy

Keyur Surati, Jatin Modi, Sourabh Damani, Kushal Prajapati, Aneri Shah

Keywords : Open hemorrhoidectomy, Recurrence of hemorrhoids, Stapler hemorrhoidectomy

Citation Information : Surati K, Modi J, Damani S, Prajapati K, Shah A. Comparative Study of Management of Hemorrhoids: Stapler vs Open Hemorrhoidectomy. World J Lap Surg 2022; 15 (1):8-10.

DOI: 10.5005/jp-journals-10033-1492

License: CC BY-NC 4.0

Published Online: 09-05-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Aims and objective: To study postoperative pain, time taken for procedure, postoperative complications, return to normal activity, and recurrence between stapler and open hemorrhoidectomy. Materials and methods: For this study, 40 patients of second- and third-degree hemorrhoids were operated for stapler or open method of hemorrhoidectomy. Follow-up of all patients was taken at first week, third week, and 1 year postoperatively. Results: On the postoperative days one to four in stapler hemorrhoidectomy, there was decreased postoperative pain according to visual analog score, significantly reduced operating time and early gain of work (3 vs 20.5 days; p = 0.001). No difference in complications of both the method of surgeries was found. No recurrence was found in either of surgeries, while impaired wound healing was found more in open hemorrhoidectomy. After 1 year, there were no any complications such as recurrence, rectal stenosis, or perianal fistulas in stapler group. Conclusions: Stapler hemorrhoidectomy was found to have decreased postoperative pain, earlier return to work, earlier recovery time, and zero recurrence in comparison with the open technique up to 1 year. Clinical significance: Stapler hemorrhoidectomy can be a good option as compared to open hemorrhoidectomy in the form of less postoperative pain, hospital stay, and early return to work in second- and third-degree hemorrhoids without significant postoperative complications.


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