Volume : VII, Issue : V, May - 2017

A COMPARISON STUDY OF OPEN HAEMORRHOIDECTOMY vs STAPLER HAEMORRHOIDECTOMY (MIPH)

Dr. S. Nareshkumar, Dr. M. Ramya

Abstract :

 Many surgical and non–surgical treatment modalities are available for treatment of haemorrhoids.Out of which haemorrhoidectomy is regarded as the cure of disease. It can be     performed in many ways. Conventional open method is widely accepted by many surgeons. MIPH is a recent advance in the management of haemorrhoids. This study is aimed to compare the two surgical modalities to treat haemorrhoids namely Open haemorrhoidectomy and MIPH (Stapled Haemorrhoidectomy) in technical, functional and economical aspects.    Methods:   A prospective randomized study was conducted on 40 patients in ESIC Medical college & Hospital. All patients with 3rd and 4th degree haemorrhoids were hospitalized; all routine investigations were done and evaluated as required. All cases were thoroughly studied and followed up according to the subjective and objective criteria. Results:    In patients who underwent stapler haemorrhoidectomy, the duration of surgery was less, postoperative pain was less, postoperative bleeding was also less, the patients were ambulated in 12–24 hours, and hospital stay was 2–3 days and returned to their routine work postoperatively in 10 days.   Conclusion:    Stapler haemorrhoidectomy is effective in terms of decreased per– and postoperative blood loss, minimal pain, less requirement of analgesics and less pain at first bowel movement, faster wound healing with faster postoperative recovery and short postoperative hospital stay with early return to normal routine activity but MIPH is expensive as compared to open technique. However, long–term follow–up is necessary to determine whether these initial results are lasting.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

DR.S.NARESHKUMAR, DR.M.RAMYA, A COMPARISON STUDY OF OPEN HAEMORRHOIDECTOMY vs STAPLER HAEMORRHOIDECTOMY (MIPH), INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾5 | May‾2017

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