Higher patient satisfaction levels after Stapled Hemorrhoidopexy compared to Conventional Hemorrhoidectomy- a single-center experience

Abstract

Introduction: Studies have suggested that stapled hemorrhoidopexy results in less postoperative pain and shorter recovery compared with conventional surgery, but a higher rate of recurrence. The present study aimed to assess the advantage and feasibility of stapled hemorrhoidopexy versus conventional hemorrhoidectomy in grade 3 and grade 4 hemorrhoids and to compare the short-term outcomes of stapled hemorrhoidopexy with conventional hemorrhoidectomy in a teaching hospital in Central India.

Methods: After fulfilling the selection criteria, 100 patients were randomly allocated to the stapled (n = 50) or conventional group (n = 50). All patients were operated under spinal anesthesia. The 2 techniques were evaluated with respect to the operative time, pain scores, complications, hospital stay, return to work, and level of satisfaction. The follow-up period was 6 months.

Results: The mean age of patients was 46.02 years in the stapled group and 48.64 years in the conventional group. Hemorrhoids were more common in men. The mean operative time was shorter in the stapled group (24.28 ± 4.25 minutes) versus 45.41 ± 6.36 minutes in the conventional group (P < 0.05). The blood loss and pain scores were significantly less in the stapled group.

Conclusion: Stapled hemorrhoidopexy is a safe and effective day-care procedure for the treatment of grade 3 and grade 4 hemorrhoids. It ensures lesser postoperative pain, early discharge, less time off work, and complications similar to the conventional technique, and in the end a more satisfied patient with no perianal wound.