Original Articles
Comparative Study Of Different Treatment Modalities Of Haemorrhoids: Band Ligation, Haemorrhoidectomy And Stapled Haemorrhoidopexy | |
Dr. Pulkit Sharma, Dr. Satyendra Prasad Mukhiya, Dr. Santosh Kumar Prajapati | |
BACKGROUND: This Study Was Carried Out To Evaluate Possible Differences Of Pre And Post Treatment Parameters Between Patients Undergoing Rubber Band Ligation, Hemorrhoidectomy, Stapled Haemorrhoidopexy. METHODS: The Prospective Study Was Carried Out In 120 Patients Of Haemorrhoids During MAY 2022 To OCTOBER 2023. Each Group Of 40 Patients Treated With Rubber Band Ligation, Hemorrhoidectomy, Stapled Haemorrhoidopexy And Followed Up For 1 Year For Complications. RESULTS: In The Present Study Pain, Bleeding And Urinary Retention Were Common Following Haemorrhoidectomy. Anal Incontinence Was Found To Be A Major Problem In Post Haemorrhoidectomy Period. Two Patients Had Anal Stenosis After Haemorrhoidectomy. Second Setting Required In Patients Of Rubber Band Ligation. No Recurrence Noted In Haemorrhoidectomy Patients. Following Rubber Band Ligation, 32 (80%) Resolved, 7 (17.5%) Improved And 1 (2.5%) Unchanged, While After Haemorrhoidectomy, 30 (75%) Resolved And 10 (25%) Improved. Following After Stapled Haemorrhoidopexy,34(85%) Resolved And 6(15%) Improved. DISCUSSION: Band Ligation Is The Best Initial Treatment Option For Second Degree Haemorrhoids Compared To Other Methods. It Can Also Be Used As The Initial Treatment For Early Third Degree Haemorrhoids With Acceptable Cure Rate.Haemorrhoidectomy Remains The Only Form Of Therapy With Lasting Results. Thus It Should Be Considered For All Cases Of Third And Fourth Degree Haemorrhoids And For Uncontrollable Symptomatic Recurrences Following Conservative Procedures. STAPLER HAEMORRHOIDOPEXY It Is Generally Indicated For The More Severe Cases Of Internal Haemorrhoidal Prolapsed(3rd And 4th Degree). The Procedure May Be Contra-Indicated When Only One Cushion Is Prolapsed Or In Severe Cases Of Fibrotic Piles Which Cannot Be Physically Repositioned. |
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