Comparison of the effect of two methods of hemorrhoidectomy with stapler and hemorrhoidectomy with conventional method on clinical outcomes of patients

Document Type : Original Article

Authors

1 Department of General surgery, Razi Hospital, Ahvaz Jondishapur University of Medical Sciences, Ahvaz, Iran

2 surgery department, Ahvaz Jondishapur University of medical science,Ahvaz,Iran

3 Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Abstract

Background and Objectives: Todays one of the most common anorectal problems is hemorrhoid. Minor symptom of disease can be treated by medical treatment but at high grade disease we should consider surgery. Although conventional surgery is standard operation for hemorrhoid, it is associated with some complication. Many techniques were designed to overcome these problems. One of these procedures stapled hemorrhoidopexy that this study was done to compare it with conventional hemorrhoidectomy.
Subjects and Methods: This is a clinical trial study was conducted on 40 patients with hemorrhoids in Ahvaz Razi Hospital. Patients were randomly divided into two groups. Group A (n=20) was treated with stapled hemorrhoidopexy and Group B (n=20) was treated with conventional hemoroidectomy method. Sphincter tone, resting and pressing before and after surgery was measured and compared between two groups.
Results:. Data analysis showed that there was no significant differences in tone sphincter resting and pressing before and after surgery in stapled hemorrhoidopexy group and conventional hemoroidectomy group (P-value=0.32). Also, there was no significant difference between the mean scores of pain in groups (P-value=0.32). However, the loss of blood, the need for analgesic drugs and return to work in stapled hemorrhoidopexy group was significantly lower than that of conventional surgery group (P-value<0.001).
Conclusions: Findings of study showed that stapled hemorrhoidopexy is an alternative and effective treatment that can be used in adult age groups to reduce pain, side effects, duration of hospitalization and time to return to work.

Keywords

References

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Jundishapur Scientific Medical Journal
Volume 18, Issue 1 - Serial Number 118
May and June 2019
Pages 23-29

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History

  • Receive Date: 17 November 2018
  • Revise Date: 13 February 2019
  • Accept Date: 30 April 2019

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