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A Comparative Study Between Stapler Hemorrhoidopexy and Conventional Hemorrhoidectomy.
Susmitha K Reddy1, Vikram Sindagikar1, Mallikarjun B Patil1
1General Surgery, Shri B. M. Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, IND.
Cureus
|February 27, 2026
Summary
Stapled hemorrhoidopexy is a faster, less painful procedure with shorter hospital stays compared to conventional hemorrhoidectomy for treating hemorrhoids. This surgical option offers improved outcomes for patients with Grade II and III hemorrhoids.
Area of Science:
- Colorectal Surgery
- Surgical Innovation
- Anorectal Disorders
Background:
- Hemorrhoids are prevalent anorectal conditions often necessitating surgical intervention.
- Conventional hemorrhoidectomy, while effective, presents challenges with postoperative pain and extended recovery periods.
- Stapled hemorrhoidopexy (SH) has emerged as a minimally invasive alternative to mitigate these drawbacks.
Purpose of the Study:
- To conduct a comparative analysis of stapled hemorrhoidopexy (SH) versus conventional hemorrhoidectomy (CH).
- To evaluate operative parameters, postoperative pain levels, analgesic needs, hospital duration, and complication rates between the two surgical methods.
Main Methods:
- A prospective comparative study involving 50 patients diagnosed with Grade II and III hemorrhoids.
- Patients were randomized into two groups: 25 undergoing stapled hemorrhoidopexy and 25 undergoing conventional hemorrhoidectomy.
- Data collected included operative time, visual analogue scale (VAS) pain scores, analgesic consumption, hospital stay duration, and incidence of complications.
Main Results:
- The stapled hemorrhoidopexy group demonstrated significantly shorter operative times (under 20 minutes) compared to the conventional group (p < 0.001).
- Patients in the stapled group reported significantly lower VAS pain scores (2.40 ± 0.58 vs. 4.72 ± 0.46; p < 0.001) and required less analgesia.
- Hospital stay was markedly reduced in the stapled hemorrhoidopexy group (1.40 ± 0.58 days) versus the conventional group (2.38 ± 1.14 days; p < 0.001).
Conclusions:
- Stapled hemorrhoidopexy presents superior operative efficiency and improved postoperative outcomes, including reduced pain and shorter hospital stays.
- The safety profile of stapled hemorrhoidopexy is comparable to conventional hemorrhoidectomy for Grade II and III hemorrhoids.
- SH is a favorable surgical option for managing specific grades of hemorrhoids, offering significant patient benefits.
