ASSESSMENT OF STAPLED HAEMORRHOIDOPEXY IN HAEMORRHOIDS MANAGEMENT

Abstract

Background: Hemorrhoids are a common anorectal condition that significantly
affects quality of life. Stapled hemorrhoidopexy has emerged as an alternative to
conventional hemorrhoidectomy, aiming to reduce postoperative pain and recovery
time. This study evaluates the outcomes of stapled hemorrhoidopexy in patients with
Grade II to IV hemorrhoids.
Methods: A prospective study was conducted on 100 patients with symptomatic
Grade II to IV hemorrhoids who underwent stapled hemorrhoidopexy. Parameters
assessed included operative time, postoperative pain (measured by Visual Analog
Scale), hospital stay, time to return to normal activities, and postoperative
complications. Patients were followed up for one year to monitor recurrence and late
complications.
Results: The mean operative time was 35 ± 8 minutes. Postoperative pain scores
were low, with a mean VAS score of 4.5 ± 1.2 at 6 hours, 3.0 ± 1.1 at 24 hours, and
1.0 ± 0.5 at 1 week. The mean hospital stay was 2 ± 0.5 days, and patients resumed
normal activities within 7 ± 2 days. Postoperative complications included mild
bleeding (5%), urinary retention (8%), severe pain (10%), staple line dehiscence
(2%), anal stenosis (1%), and recurrence (3%) at one year. No cases of fecal
incontinence were reported.
Conclusion: Stapled hemorrhoidopexy is a safe and effective procedure for treating
Grade II to IV hemorrhoids, offering advantages of reduced postoperative pain,
shorter hospital stay, and faster recovery. Although recurrence remains a concern
over long-term follow-up, early outcomes are favorable, highlighting stapled
hemorrhoidopexy as a valuable alternative to conventional hemorrhoidectomy.