ABSTRACT
The aim of study was to assess the outcome of treatment for 3[rd] and 4[th] Degree Haemorrhoids by a new surgical procedure- Procedure for Prolapsed Haemorrhoids [PPH] or also known as Stapled Haemorrhoidectomy [SH]. A prospective study at West Surgical Unit Mayo Hospital/ King Edward Medical University Lahore was undertaken of 32 patients between Oct.2004 and Jan.2006. The outcome studied were patients' profiles, length of operation, post-operative complications and recurrence. A total of 32 patients 13 women [44%] and 19 men [56%] had surgery. The median age was 36 [range 23-64] years. The main indications were bleeding 84.3 percent, heamorrhoidal prolapse with 4[th] degree were 59.3 percent. The median duration of operation was 19 [15- 34] minutes. Minor complications occur in two patients: bleeding in one and significant postoperative pain in an other patient. However, this is small study without any long term follow-up but our experience of stapled haemorrhoidectomy confirm it as a safe and effective procedure for prolapsed harmorroids