DOI: 10.36347/sasjs.2022.v08i08.002

Pages: 496-504

Background: Hemorrhoid is a common disease in our country. But its conventional surgical treatment is associated with severe pain and open wound for a long time. Patients are very much frightened to undergo this kind of operation. A new method of hemorrhoid operation i.e. stapled Hemorrhoidectomy does not involve excision of the hemorrhoid and is thereby expected to have less pain and no open wound. Aim of the study: The aim of the study is to investigate the safety, efficacy, patient satisfaction, and outcome of the stapled hemorrhoidectomy operation in the Bangabandhu Sheikh Mujib Medical University, Bangladesh, and different private hospitals in Dhaka city. Methods: 50 patients were selected randomly who were admitted to Bangabandhu Sheikh Mujib Medical University, Bangladesh, and different private hospitals in Dhaka city. They were evaluated by short history, clinical examination, and appropriate investigations. With adequate preoperative preparation, they underwent Stapled Hemorrhoidectomy. They were followed up postoperatively and for 2 months after the operation. Results: 38 patients left the hospital within 36 hours of operation, 6 patients stayed for 4 days, 4 patients for 6 days, and only 2 patients stayed for more than 5 days. 1 patient had 2nd-degree hemorrhoid, 44 had 3rd hemorrhoid and 5 had 4th-degree hemorrhoid the average operating time was 25.30 minutes. The highest time required was 45 minutes and the slowest time was 20 minutes. Initial postoperative pain was common but it didn’t continue for more than 24 hours, only 3 patients complained of occasional pain after discharge. 48 patients had complete relief of symptoms and 2 had a small residual lump. The urgency of defecation was complained about by 5, which subsided with time. No other serious complications like infection or sphincter damage were seen. 49 patients had full satisfaction during follow-up. Conclusion: Stapled Hemorrhoidectomy is associated with significantly less pain immediate ....