Title: Stapler Haemorrhoidopexy for Treatment of Haemorrhoids– Our Initial Experience
Authors: Ashish Agrawal, Amit Katlana, Vinita Agrawal, Prateek Porwal
DOI: https://dx.doi.org/10.18535/jmscr/v5i4.106
Abstract
Background: Stapler haemorrhoidopexy is relatively painless alternative to conventional haemorrhoidectomy by avoiding multiple excision and suture line in perianal region.
Aims: to report and analyse intra and postoperative results of stapler haemorrhoidopexy (SH).
Methods: 34 patients were managed by Stapler haemorrhoidopexy (SH) over two and half year. The primary outcome measured were the analgesic requirement in postoperative period and time taken to resume ADL.
Results: 34 patients with grade III and IV haemorrhoids underwent SH under spinal anaesthesia. In the first 24 h 6 patients required a single dose of Injection Diclofenac Sodium while 18 patients required two doses and 10 patients had to be given three doses. 12 patients (35.3%) achieved Katz Index of Independence in Activities of Daily Living score of 6 on the first post-operative day and another 18 (52.9%) on the second post-operative day. By the fourth post-operative day all patients had achieved a score of 6.
Keyword: Activities of daily living (ADL), Haemorrhoids, Stapler haemorrhoidopexy:
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