Comparison between conventional haemorrhoidectomy versus Cryo haemorrhoidectomy in haemorrhoids our experience

2019 ◽  
Vol 9 (3) ◽  
pp. 164-167
Author(s):  
P N Shantha Kumar ◽  
◽  
Narendra Kumar L ◽  
Keyword(s):  
Conventional Haemorrhoidectomy

scholarly journals Stapled Haemorrhoidopexy Compared with Conventional Haemorrhoidectomy-A Systematic Review

2012 ◽  
Vol 7 (1) ◽  
pp. 37-41 ◽  
Author(s):  
ASMT Rahman ◽  
ASMZ Rahman ◽  
SK Biswas ◽  
KR Majumder ◽  
G Biswas
Keyword(s):  
Surgical Management ◽  
Current Evidence ◽  
Stapled Haemorrhoidopexy ◽  
Randomized Controlled ◽  
Long Term Follow Up ◽  
Conventional Haemorrhoidectomy ◽  
Meta Analyses ◽  
Excisional Surgery

Haemorrhoids are one of the most common anorectal disorders. Conventional haemorrhoidectomy (CH) is the most commonly practiced surgical technique. Stapled haemorrhoidopexy (SH) [procedure for prolapsed haemorrhoids (PPH)] is newly developed method for the surgical management of Haemorrhoids. This review looks at the surgical management of prolapsed haemorrhoids in light of this recent development and suggests a treatment approach based on this current evidence. A Medline, Pubmed and Cochrane data base search was performed using key words "haemorrhoid" or 'hemorrhoid' and staple. Relevant papers e.g. randomized controlled trials, review and metaanalyses from different parts of the world were collected. Data were analyzed and compiled. Though early small RCTs (stapled haemorrhoidopexy comparing with traditional excisional surgery) have shown stapled haemorrhoidopexy is less painful and it is associated with quicker recovery but recent large meta-analyses and long term follow up have shown SH is associated with a higher long term risk of haemorrhoid recurrence and symptoms of prolapse.DOI: http://dx.doi.org/10.3329/fmcj.v7i1.10297Faridpur Med. Coll. J. 2012;7(1): 37-41

scholarly journals Postoperative recovery; Stapled Hemorrhoidopexy versus Conventional haemorrhoidectomy.

2020 ◽  
Vol 27 (01) ◽  
pp. 166-171
Author(s):  
Ashar Ahmad Khan ◽  
Tania Mahar ◽  
Muhammad Kashif Adnan ◽  
Abdul Rasheed Surahio ◽  
Abdul Manan ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Hospital Stay ◽  
Postoperative Recovery ◽  
Stapled Hemorrhoidopexy ◽  
Anal Stenosis ◽  
P Value ◽  
Group A ◽  
Conventional Haemorrhoidectomy ◽  
Group B

Conventional haemorrhoidectomy, a usual procedure for hemorrhoids in our set up have many short and long term complications. Some patients complained pain many weeks after surgery and are unable to do their routine work. Anal stenosis and recurrence are long term issues. There is need for some other procedure which can decrease postoperative pain and hospital stay. Objectives: To compare the postoperative recovery between stapled hemorrhoidopexy and conventional hemorrhoidectomy. Study Design: Randomized Clinical trial. Setting: Surgery Department of Nishtar Medical University Multan. Period: from 01-01-2018 to 31-12-2018. Material & Methods: Randomly 02 equal groups of the patients, A and B were made. Stapled hemorrhoidopexy (SH) and conventional haemorrhoidectomy was done in group A and B respectively. SPSS version 20 used for data analysis. Mean and standard deviation were used for quantitative variables including postoperative pain, age and hospital stay. Independent Student t test used for comparison of hospital stay and postoperative pain. Effect modifier including gender, age, duration and grade of hemorrhoids were controlled by stratification and Chi square test was applied. P value less than 0.05 was taken as significant. Results: Out of 60 patients, 32 were males and 28 females. In Group A (Stapled Hemorrhoidopexy), mean age was 37.37 + 6.36 years and 39.17 + 5.53 years in Group-B. Postoperative pain in Group A was 3.60 + 1.27 and 6.03 + 1.73 in Group B. Postoperative pain was significantly high in Group B (CH) and P value =0.000. Mean hospital stay was 0.90 + 0.48 days in Group A and 1.87 + 0.57 days in Group B with P value= 0.000. Conclusion: Stapled hemorrhoidopexy is associated with shorter hospital stay and decrease postoperative pain irrespective of age, sex and grade of the hemorrhoids.

CO2 laser haemorrhoidectomy ? does it alter anorectal function or decrease pain compared to conventional haemorrhoidectomy?

1995 ◽  
Vol 10 (1) ◽  
pp. 22-24 ◽  
Author(s):  
Y. W. Chia ◽  
A. Darzi ◽  
C. T. M. Speakman ◽  
A. D. K. Hill ◽  
J. S. Jameson ◽  
...  
Keyword(s):  
Co2 Laser ◽  
Anorectal Function ◽  
Conventional Haemorrhoidectomy

scholarly journals Plication: an innovative method of treating piles

2019 ◽  
Vol 6 (11) ◽  
pp. 4056
Author(s):  
Sibaprashad Pattanayak ◽  
Manish Kumar ◽  
Santosh Kumar Patro ◽  
Manoj Kumar Behera
Keyword(s):  
Portal Hypertension ◽  
Age Groups ◽  
Patient Comfort ◽  
Main Symptom ◽  
Innovative Method ◽  
Bleeding Per Rectum ◽  
Conventional Haemorrhoidectomy ◽  
Anorectal Tumours ◽  
Anorectal Pathology

Background: The cause of haemorrhoids remains unknown. Factors contributing to haemorrhoids are constipation, prolonged squatting, pregnancy, aging, heredity, portal hypertension, abdominal tumour etc.Methods: This prospective study was carried out in department of surgery, M.K.C.G MCH, Berhampur, Odisha, India from 01st August 1995 to 31st July 2017. Patients from both sex and different age groups having haemorrhoids were included. Patients with piles secondary to anorectal tumours, prolapsed and thrombosed piles, anorectal pathology like fissure were excluded from study. Preoperative, intraoperative interventions and postoperative care were carried out according to laid procedure described below.Results: Total 1014 patients of piles were selected for plication and conventional haemorrhoidectomy and most of them were between 31-50 years of age while 362 cases underwent plication, rest 346 cases were treated with haemorrhoidectomy. All patients in this study had bleeding per rectum as the main symptom. Out of 507 patients which has been examined for plication, 272 (53.65%) had 2nd degree, 235 (46.35%) had 3rd degree piles. Results of plication of piles are satisfactory and only 4% patients had pain for which long term analgesics were given.Conclusions: Treatment of haemorrhoids is well debated topic and various methods are being used by surgeons all over world. Plication of piles appears to have significant advantages over conventional methods in terms of patient comfort, duration of stay in hospital and incidence of complications. Literature on this subject is briefly reviewed.

scholarly journals Randomized comparison of stapled haemorrhoidopexy and open haemorrhoidectomy

2018 ◽  
Vol 5 (9) ◽  
pp. 3118
Author(s):  
Suresh Kumar Rulaniya ◽  
Soumitra Chandra
Keyword(s):  
Comparative Study ◽  
Conventional Method ◽  
Stapled Haemorrhoidopexy ◽  
Stapled Haemorrhoidectomy ◽  
Duration Of Surgery ◽  
Conventional Haemorrhoidectomy ◽  
Prospective Comparative Study ◽  
Vas Scores ◽  
The Mean

Background: Surgical management of haemorrhoids is reserved for stage III and IV haemorrhoids. Both Milligan-Morgan technique (CH-Conventional Haemorrhoidectomy) and stapled haemorrhoidopexy technique are used as surgical therapy. Our prospective, comparative study of conventional haemorrhoidectomy versus stapled haemorrhoidectomy was designed in present institution.Methods: This prospective randomised comparative study was carried out in present Surgery Dept from July 2016 to December 2017 with total 60 sample size. All data were analysed according to applicable statistical methods. The results were compared to previous studies so as to arrive at a conclusion.Results: The mean duration of surgery with stapled method was 30.76±3.13 minutes and with conventional method was 49.36±4.08 minutes which was significantly high in conventional method. VAS scores for pain at 12 hours, 24 hours, 72 hours and 7 days for stapled group were 2.63±0.76, 1.66±0.88, 0.90±0.71 and 0.50±0.43 while that for the conventional group were 5.63±0.72, 4.56±1.22, 3.26±1.25 and 2.00±0.69. At all points of time the VAS was significantly lower in stapled group. The mean duration of hospital stay of the patients with stapled method was 3.10±0.75 days and with conventional method was 6.06±0.94 days, which was significantly high in conventional method. The mean time to return to normal activities of the patients with stapled method was 8.16±1.93 days and with conventional method was 12.60±1.67 days, which also significantly high in conventional method.Conclusions: Present study inferred that stapled haemorrhoidopexy is faster, minimally invasive for treatment of haemorrhoids as compared to Conventional haemorrhoidectomy. It is associated less pain and provides a more satisfactory alternative to Conventional surgery because of reduced hospitalisation and earlier return of patient to daily activities, with no significant differences in short term follow up.

A Prospective Comparative Randomized Study between Stapled and Conventional Haemorrhoidectomy

2018 ◽  
Vol 9 (5) ◽  
pp. 579-586
Author(s):  
Anil Kumar Sharma ◽  
◽  
Satyaveer Singh ◽  
Rekha Porwal ◽  
Amit Singh ◽  
...  
Keyword(s):  
Randomized Study ◽  
Conventional Haemorrhoidectomy
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