Fakhar Irfan, Mariam Salim, Khalid Javed Abid.
Outcome of Stapled Haemorrhoidectomy Versus Open Haemorrhoidectomy: a Randomized control trial.
Pak J Med Health Sci Jan ;8(2):491-5.

Aim: To evaluate stapled haemorrhoidectomy as a better choice than open haemorrhoidectomy. Methods: 160 consecutive patients of 3rd and 4th degree haemorrhoids fulfilling the inclusion criteria were randomly divided into Group A (Stapled Haemorrhoidectomy) and B (Open Haemorrhoidectomy). The main outcome variables are post-operative pain. Post-operative bleeding and length of hospital stay among two groups. For pain Visual analogue scale was used which ranges from 0 to 5. Results: Both the Groups were comparable and there is statistically no significant difference among them in terms of Age, Gender and clinical presentation.Adequate pain relief was observed in 53.75% in Group A and in 18.75% in Group B within 48 hours of surgery. The mean pain score in patients of Group A at 48 hours was 1.65±0.813 while in patients of Group B was 2.58±1.04, which is statistically highly significant (p value 0.001).In terms of bleeding PR, only 06(7.5%) in group A and 55(68.75%) in group B persistently had complain of small amount of bleeding PR at 3 weeks and the P value is 0.000 (<0.0001) is highly significant from Group A 69(86.25%) patients were discharged from hospital on the second day of surgery while only 43(53.7%) patients from Group B went home on second day of surgery, the difference between two in terms of p value is highly significant (0.004). Conclusion: On the basis of this study, it was conclude that stapled haemorrhoidectomy is the treatment of choice for 3rd and 4th degree haemorrhoids. It cures haemorrhoids in majority of patients with very low rate of complications and excellent post-operative results.

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