Short Term and Long Term Outcome Following Stapled Haemorrhoidopexy

Bleeding per rectum is one of the most alarming conditions for any patient. Haemorrhoids are a common cause of bleeding in anorectal region. Conventional Haemorrhoidectomy is associated with significant pain & morbidity so much so that patient feared of and reluctant to undergo surgery. In 1998, introduction of stapled haemorroidopexy by Longo represented a radical change in the treatment of haemorrhoids. The aim of this prospective study was to evaluate short term & long term clinical & surgical outcome of stapled haemorrhoidopexy. A sample of 130 patients with symptomatic second-, third- & fourth- degree haemorrhoids underwent stapled haemorrhoidopexy from January 2013 to December 2016 at Care Medical college & Hospital & Fast care Hospital, Dhaka. Out of these 90 patients who completed their one year follow up was included for the study & their data was analyzed. Eighty percent of patient was females & the mean age 45 (25-75 years), Mean operative time was 35 minutes (25-70 minutes). Mean hospital stay 1 day (1-2 days). Intraoperative suture was 6 and incomplete doughnut 9. Use of analgesics 5 days. All patients were followed up to at outpatient clinic 12 months postoperatively. Stapled haemorrhoidopexy for haemorrhoids is an efficient procedure with less post operative pain, lower complication rates and better patient compliance & satisfaction.