DOI: 10.36347/sasjs.2022.v08i03.018

Pages: 168-172

Background: Hemorrhoids is a very common anorectal condition distinct as the symptomatic enlargement and distal displacement of normal anal cushions. Several factors have been claimed to be associated with hemorrhoidal development, including prolonged straining and constipation. Several treatment methods along with the Milligan-Morgan procedure are applied in treating hemorrhoids. Aim of the study: The aim of this study was to compare the effectiveness and outcomes of stapled hemorrhoidopexy and conventional Milligan Morgan procedure in treating hemorrhoids. Methods: This comparative observational study was conducted at the Department of Surgery, Rajshahi Medical College, Rajshahi, Bangladesh during the period from January 2019 to December 2019. In total 100 patients with grade 3 or 4 hemorrhoids who fulfilled the criteria were included in the study subjects. In total 50 patients were denoted as group A patients who underwent stapled hemorrhoidopexy and the other 50 patients denoted as group B underwent conventional open (Milligan Morgan Procedure) hemorrhoidectomy. Patients were reviewed immediately after surgery and at 1, 3, 6 weeks, and 6 months post-operatively. All data were processed, analyzed, and disseminated by MS Office and SPSS programs as per need. Results: In this study, the mean ± (SD) duration of hospital stay was 2.88 ± 0.48 days in group B which was extremely significantly higher than that (1.77 ± 0.12 days) of group A (P <0.0001). After 6, 12 and 24 hours of surgery the pain scores in group A were significantly lower than those in group B (P-Values: 0.001, 0.005, and 0.014 respectively). The mean (±SD) patient satisfaction score was found extremely significantly higher in group A (4.13 ± 0.61) than that of group B (3.27 ± 0.57) where the P-value was <0.0001. The mean (±SD) ‘time taken to return to work in days was found extremely significantly lower in group A (9.06 ± 2.43 days) than that of group B (16.66 ± 2.79 days) where the P-value was .......