Stapled Haemorrhoidopexy, As A Day Case Procedure

Objective: To determine the effectiveness of stapled haemorrhoidopexy as a day case procedure.Study Design: Descriptive case series.Place and duration of study: South Surgical Unit affiliated with King Edward Medical University, Mayo Hospital Lahore; over the period of 12 months from January to December 2009.Methodology: A total of 30 patients suffering from late 2nd, 3rd and 4th degree haemorrhoids were selected from outpatient department who were fit for surgery on medical grounds. Informed consent was taken. All the patients underwent stapled haemorrhoidopexy using proximate 33mm circular stapling device (PPH, Ethicon Inc.) by the same team of surgeons who operated on all cases. Patients were observed for 12hrs post operatively for effectiveness of stapled haemorrhoidopexy in terms of post operative pain, using visual analogue scale (VAS), immediate post-operative bleeding, urinary retention, and . Patients were kept in the ward for 12hrs and were monitored according to predefined variables. All the data was entered and analyzed using SPSS version 11.0.Results: Among 30 patients selected for stapled haemorrhoidopexy, the male to female ratio was 9:1 with mean age of 42.90 ± 11.93. Among all the patients selected 11 (36.7%) had late 2nd degree, 15 (50%) had 3rd degree and 4 (13.3%) had 4th degree haemorrhoids. Overall 26 (86%) patients showed effectiveness of stapled haemorrhoidopexy with minimal manageable complications and were discharged as day case patient.Conclusion: Our study shows stapled haemorrhoidopexy to be a safe and effective procedure for late 2nd, 3rd and 4th degree haemorrhoids in terms of early mobilization, less post-operative pain post-operative bleeding making it a successful day case procedure.