Management Of 3rd Degree Hemorrhoids With Stapled Haemorrhoidectomy Vs. Open Haemorrhoidectomy A Prospective Randomized Study.

ABSTRACT:Introduction:Manysurgicalandnon‐surgicaltreatmentmodalitiesareavailableformanagementofhemorrhoidsofwhichHaemorrhoidectomyisregardedasthegoldstandardoftreatment.ConventionalopenHaemorrhoidectomyiswidelyperformed&hasstoodthetestoftime.StapledHaemorrhoidectomyisnewerprocedureinthemanagementofhaemorrhoids.Ourstudyaimstocomparethetwosurgicalmodalitiesinrelationtothetechnique&timedurationofsurgery,post‐operativestay&complications.Methods:AprospectiverandomizedstudywasconductedatAMCMETMMC&LGhospitalsAhmedabadbetween1stJanuary2016&1stSept2016.Allpatientspresentingwith3rddegreehaemorrhoidswererandomizedbetweenOpen&StapledHaemorrhoidectomygroups&comparedwithrelationtomeanoperativetiming,complicationspostoperativelynamelyhemorrhage,urinaryretention&post‐operativepain,durationofhospitalstay,durationforresumingnormalworkafterdischarge.Allcaseswerethoroughlystudiedandfollowedupforperiodof3months.Datawasassessedbymulti‐variationanalysisbypairedTtest&Wilcoxonanalysis.

A Beginner Surgeon’s Experience Of Minimal Access Surgery At Tertiary Care Hospital

Introduction: Minimal access surgery is the need of the hour for departments of surgery running throughout the country. Laparoscopic surgeries are being performed routinely in surgical departments with increasing frequency. Basic laparoscopy surgeries are nowadays incorporated in training programs for post graduate students. Therefore it is important for a surgeon to achieve enough experience in basic laparoscopy and move on to advanced laparoscopic procedure for benefit of the continuing field of surgical educationMaterial & Methods: in this prospective observational study, 120 cases of laparoscopic surgery performed at department of general surgery, AMC MET MMC were reviewed in terms of age & sex distribution, mean operative time & post op complications.