SURGICAL THERAPY OF THE HAEMORRHOIDS: A COMPARISON BETWEEN STAPLED AND TRADITIONAL HEMORRHOIDECTOMY

Abstract

Background: Up until recently, the most common surgical haemorrhoid therapy was conventional/Milligan
Morgan hemorrhoidectomy. However, with the advent of minimally invasive surgery, stapler hemorrhoidectomy 
became a popular therapeutic method with few problems. 
Aim: The purpose of this study is to evaluate the surgical therapy of haemorrhoids by comparing stapled and 
standard hemorrhoidectomy.  
Methods: Two groups of fifty participants each were created from the 100 subjects who were scheduled for 
hemorrhoidectomy; group I received stapled hemorrhoidectomy, whereas group II got standard hemorrhoidectomy. 
At the first and third weeks following surgery, all participants had evaluations for anal stenosis, anal incontinence, 
urine retention, wound infection, bleeding, and postoperative discomfort.  
Results: Compared to stapler hemorrhoidectomy, the traditional technique's mean operational time was 45.77±5.88 
minutes longer. When comparing traditional hemorrhoidectomy to stapler hemorrhoidectomy, VAS values on days 
1 and 3 were considerably higher (p<0.001). Conventional hemorrhoidectomy resulted in a substantially longer 
hospital stay (mean stay duration of 7.22±2.4 days versus 3.01±2.1 days with p<0.01) than stapler 
hemorrhoidectomy. Compared to traditional hemorrhoidectomy, stapler hemorrhoidectomy resulted in a shorter 
recovery period (p<0.01). Subjects undergoing conventional hemorrhoidectomy had significantly higher 
postoperative bleeding rates; additionally, 4% (n=2) of these patients experienced anal stenosis; 8% (n=4) 
experienced anal incontinence; and 8% (n=4) experienced wound infection resulting from their procedure. 
Conclusion: With a quicker return to regular activities, a stapler hemorrhoidectomy results in less postoperative 
discomfort, a shorter hospital stay, and less operating time. For those having hemorrhoidectomy, stapler 
hemorrhoidectomy is thus advised.