THE PROMISING OUTCOMES OF STAPLED HEMORRHOIDOPEXY IN CONTRAST TO OPEN HAEMORRHOIDECTOMY

Background Haemorrhoids, often referred to as "Piles," impact around 4.4% of the population, leading to surgical intervention being a frequent treatment method. In surgical practice, various nonsurgical and surgical options are available for managing this condition. While the MilliganMorgan open haemorrhoidectomy is widely utilized, there's a growing recognition worldwide of a newer technique known as "Stapled Hemorrhoidopexy," pioneered by Italian surgeon Antonio Longo, attributed to its perceived benets. Methods A prospective comparative study was conducted from July to December 2023. The study comprised 50 patients aged between 25 and 65 years diagnosed with grade III or IV haemorrhoids. They were divided into two groups: Group 1 underwent Open haemorrhoidectomy (25 patients), and Group 2 underwent Stapled Hemorrhoidopexy (25 patients). Following surgery, patients from both groups were assessed at discharge. Each patient was provided with a questionnaire, and data were collected verbally and analysed statistically. Comparative analysis between the two groups was performed using the student's t-test. Results In the Open Haemorrhoidectomy group, males comprised 72% and 80% of the Stapled Hemorrhoidopexy group, while females accounted for 28% and 20%, respectively. Post-operative bleeding occurred in 4% of both groups. Urinary retention post-operatively was observed in 8% and 12% of patients in the Open Haemorrhoidectomy and Stapled Hemorrhoidopexy groups, respectively. As per the results of the Sample t-test, postoperative pain, length of hospital stays, and time taken to resume daily activities were notably reduced in the Stapled Hemorrhoidopexy group, and these differences were statistically signicant. Nevertheless, the occurrence of complications like post-operative bleeding and urinary retention was comparable in both groups. Conclusion Stapled Hemorrhoidopexy is associated with reduced pain, shorter hospital stays, and quicker return to daily activities compared to open haemorrhoidectomy. Nonetheless, long-term monitoring is necessary to determine the recurrence rate following stapled haemorrhoidectomy.