A STUDY TO EVALUATE STAPLED HAEMORRHOIDECTOMY IN PATIENTS OF GRADE III AND GRADE IV HAEMORRHOIDS

Dr. Anil Kumar Dubey, Dr. Yuvraj Kumar Churendra

Abstract


Introduction: Haemorrhoids are considered one of the most common anorectal diseases with a prevalence of 4.4% up to 36.4% of the general population, and a peak incidence between 45 and 65 years. Haemorrhoidal disease presents with a prolapsed lump, painless bleeding, discomfort, discharge, hygiene problems, soiling, and pruritus etc. We studied a method of treatment named stapled haemorrhoidectomy to evaluate this among grade 3 & grade 4 patients of Haemorrhoids about time of operating ,post operative complications & early discharge  

Methods: : Prospective Study was done among patients of Grade 3 & 4 of Haemorrhoids . The data collection included into parts.  Demographic variables, Clinical Variables , Predesigned Standardized Questionnaire & Standardized rating scale to assess& evaluate the study subjects . Subjects who fulfilled the inclusion criteria were chosen as samples by using non-probability purposive sampling technique. The study was conducted at various parts  of a tertiary medical care centre  of Raipur CG  The results of Stapled Haemorrhoidectomy ( SH )  were evaluated by a questionnaire focusing on the relief of symptoms, severity of post operative pain, and complications of SH.

Results: The data were analyzed and interpreted based on the objectives using descriptive and inferential statistics.Thirty two  patients (23  males and 9 females); with a mean age of 37.6 years were recruited in this study. 86% patients had grade III and  14% presented with grade IV hemorrhoids. Perianal prolapse was the most frequent presentation reported in 76%. Mean operating time was 20.1 minutes whereas mean hospital stay was 2 days. Post–operative pain was tolerable in 93% cases whereas 7% experienced mild pain requiring additional analgesia. Urinary retention& urgency  was the most common complication found in 16% patients. All patients were cured.

Conclusion:Stapled Haemorrhoidectomy is a safe, rapid, and convenient surgical remedy for grade III and grade IV hemorrhoids with low rate of complications, minimal postoepative pain, and early discharge from the hospital.  There is less lateral thermal damage, with no passage of electricity to or through the patient, resulting in greater safety for the patient.


Keywords


Haemorrhoids , Stapled Haemorrhoidectomy , Grade III & IV haemorrhoids

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References


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