ABSTRACT

Background Hemorrhoidal disease is a very common anorectal disorder, occurring in approximately 5% of the general population. Various techniques are used in the surgical treatment of hemorrhoidal disease; with the commonest two being harmonic scalpel hemorrhoidectomy (HSH) and stapler hemorrhoidopexy (SH). However, the short term results of the two in treating hemorrhoial diseases are seldom explored. Objective To compare the short term results of HSH and SHin treatment of hemorrhoidal disease. Methodology This prospective analysis was carried out from May 2019 to November 2019 upon a sample of 168 patients (aged 26 to 58 years), presenting to the Dept. of Surgery at Dr. Ruth KM Pfau Civil Hospital, Karachi with hemorrhoidal disease (chosen via non-probability, consecutive sampling). The patients were divided into two equal groups of Data obtained regarding surgical outcome (in terms of postoperative pain, hospital stay, the incidence of early complications)was recorded onto a self-structured questionnaire after taking written informed consent. The data obtained was analyzed using SPSS v. 22.0. Results The patient demographic and clinical characteristics were similar in the two groups. The operative time was significantly shorter in the HSH group compared with the SH group. More severe pain was reported by patients in the HSH group. The difference in mean hospital stay was not significant but early complications (especially those pertaining to the wound and bleeding) were more common among the SH group. Conclusion After careful consideration, it can be concluded that HSH yields better short term results in treating hemorrhoidal disease than SH. Keywords: Hemorrhoids, Harmonic Scalpel Hemorrhoidectomy, Stapler Hemorrhoidopexy, Short- Term Results, and Post-Operative Complication
Publication date: 01/05/2020

https://ijbpas.com/pdf/2020/May/MS_IJBPAS_2020_5084.pdf

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https://doi.org/10.31032/IJBPAS/2020/9.5.5084