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Indian J Surg. 2015 Dec;77:1057-60. doi: 10.1007/s12262-014-1140-4. Epub 2014 Jul 16.

Is Stapled Hemorrhoidectomy a Safe Procedure for Third and Fourth Grade Hemorrhoids? An Experience at Civil Hospital Karachi.

The Indian journal of surgery

Rafaqat Bota, Mushtaq Ahmed, Adnan Aziz

Affiliations

  1. Civil Hospital Karachi, Dow University of Health Sciences, H. No. 145-46, Sector 9, Block-B, New Saeedabad, Baldia Town, Karachi, 75760 Pakistan.
  2. Surgical Department 1, Civil Hospital Karachi, Karachi, Pakistan.

PMID: 27011510 PMCID: PMC4775568 DOI: 10.1007/s12262-014-1140-4

Abstract

Hemorrhoids are amongst the most frequent anorectal conditions affecting approximately 4-36 % of the general population. The study was carried out to assess the clinical consequences of stapled hemorrhoidectomy comparing results with other published literature regarding postoperative pain, bleeding, incontinence, and other complications. A total of 120 patients were included in this study with symptomatic grade 3 or 4 prolapsed hemorrhoids, who underwent stapled hemorrhoidectomy from January 2006 to January 2012 at the Civil Hospital Karachi, Pakistan. In 92 patients (76.6 %), proctological examination showed grade 3 hemorrhoids. Fourth degree hemorrhoids were found in 28 cases (23.4 %). Hospitalization time ranged between 1 and 3 days (median time was 34 h). Seventy-eight patients were discharged on the first postoperative day, without severe pain, and the remaining 42 patients were discharge on the third day. Two cases of postoperative pain and thrombosis were found as postoperative complications. Stapled hemorrhoidectomy is a safe and quick procedure associated with less pain, better outcome, and early recovery with shorter hospital stay.

Keywords: Hemorrhoids; Post operative complications; Post operative pain; Staple hemorrhoidectomy

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