| Popis: |
Hemorrhoids are amongst the most frequent anorectal conditions affecting approximately 4 – 36% of the general population. The study was carried out to assess the short-term outcomes of stapled hemorrhoidectomy such as postoperative pain, intra operative major bleeding , post operative bleeding , urinary retention , perineal thrombosis , post operative wound site infection. A total of 60 patients were included in this study with symptomatic grade 3 and 4 prolapsed haemorrhoids. These patients underwent stapled hemorrhoidectomy from June 2020 to December 2022 at the Department of Minimal access and General Surgery Govt. Medical college Srinagar. In 47 patients (76%), proctological examination showed grade 3 hemorrhoids. Fourth degree hemorrhoids were found in 13 patients (23.4 %). Mean operating time was 40min ( range 30 - 50min ). None of the patients showed removal of incomplete doughnut ( specimen ) and major intra operative bleeding. Post operative hospitalization time ranged between 1-2 post operative days. 39 patients were discharged on the first postoperative day without severe pain , 18 patients were discharged on 2nd post operative day without severe pain and 3 patients were discharged on 2nd postoperative day with mild pain and on oral analgesic. Post operative primary haemorrhage , urinary retention , perineal thrombosis and post operative wound site infection was found in none of the patients. Therefore Stapled haemorrhoidectomy was found to be a safe and quick procedure associated with less pain, better out-come, and early recovery with shorter hospital stay. |
