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Year : 2022  |  Volume : 28  |  Issue : 1  |  Page : 24-28

Comparison of surgical outcomes in laser haemorrhoidectomy and stapler haemorrhoidopexy for grade II and III haemorrhoids – A prospective cohort study

Department of General Surgery, ASTER Malabar Institute of Medical Sciences, Kozhikode, Kerala, India

Correspondence Address:
Dr. U V Akshay Viswanath
Department of General Surgery, ASTER Malabar Institute of Medical Sciences, Govindapuram, Kozhikode - 673 016, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ksj.ksj_15_22

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Background: Haemorrhoids often necessitate surgical intervention. Laser haemorrhoidectomy and stapler haemorrhoidopexy are two alternative techniques that may be employed for the resolution of symptoms. Aim: The current study aims to compare the two modalities of treatment in terms of post-operative pain, post-operative complications and recurrence at 6 months. Methodology: It was a hospital-based prospective cohort study done in the department of general surgery at a tertiary care centre. Patients were included if they were symptomatic with Grade II or III haemorrhoids in ano and underwent surgery in the same institute. Patients were excluded if they were <18 years of age, had co-existing anorectal diseases (perianal fistula, anal fissure or abscess), had a previous history of anorectal surgery or open haemorrhoidectomy, had a history of recurrent haemorrhoids, had regular use of medications such as analgesics or immunosuppressants, had a history of neurologic deficit or chronic pain syndrome, was unfit for surgery or anaesthesia, or if they were pregnant. Post-operative pain was evaluated using visual analogue scale. Results: Seventy-two patients were included in the study, and no one was lost to follow-up. The mean age was 51.8 (13.9) years and ranged from 22 to 77 years. Majority were males (80.6%). Post-operative pain was lower in the laser group at all time points. Surgical complications were slightly lower in the stapler group. Recurrence at 6 months of follow-up was noted in only one patient belonging to the stapler group. Conclusion: Laser haemorrhoidectomy has significantly lower post-operative pain, but stapler haemorrhoidopexy had lesser post-operative complications, though not statistically significant. Both surgical techniques have low recurrent rates.

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