ABSTRACT
Background: Hemorrhoids are very widespread disease that cause pain by thrombosis, fear by bleeding and be a burden by pruritus
Objective: To compare the outcome in terms of bleeding, hospital stay, post operative pain and fecal incontinence among patients with 3[rd] and 4[th] degree hemorrhoids after stapled and Milligan Morgan techniques
Methodology: Study design: Quasist Expermintal study. Setting: Surgical unit-II Bahawal Victoria Hospital Bahawalpur. Study duration: From 1[st] June 2008 to 30[th] April 2009. Study Subject: 60 patients of 3[rd] and 4[th] degree hemorrhoids were included in this study and were divided in two groups A and B having 30 patients each. Patients of group A were treated by stapled and group B were treated by Milligan Morgan technique. Patient were followed up for 24 to 72 hours after operation and then weekly for two weeks on outdoor basis for assessment of outcome variables as relief of symptoms and development of complication. The data was entered and analyzed by SPSS version 10
Results: After treatment 28 [93%] patients of group A and 15 [50%] of group B has got relief from bleeding and other symptoms. 18 [60%] patients of stapled techniques group had hospital stay of 2 or <2 days. Only two [7%] patients of group A developed postoperative hemorrhage and a ligation of spurting vessel done, but 12 [40%] patients of the group B were found with post operative bleeding and intervention was done. Post operative pain requiring analgesia developed in 10 [33%] patients of group A and in 17 [56%] patients of group B. No. patients of any group developed fecal incontinence after treatment
Conclusion: Stapled hemorrhoidectomy has given very good results in relief of symptoms. Stapling technique can also result in severe pain, bleeding, fecal incontinence and other complications, but the chances of complications are less. Due to good relief of symptoms and less complications stapling technique should be the treatment of choice