IS STAPLED HEMORRHOIDECTOMY A SAFE PROCEDURE FOR THIRD AND FOURTH GRADE HEMORRHOIDS

Objective: To compare the complications of Stapled Hemorrhoidectomy procedure among the patients of grade 3 and 4 hemorrhoids at a tertiary care teaching hospital of Pakistan. Study Design: Observational study. Place and Duration of Study: Combined Military Hospital Rawalpindi, from 01 Jan...

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Autores principales:	Tanveer Abbas, Rasikh Maqsood, Mubashar Ahmed Bajwa, Muhammad Talha Akhtar
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	safety profile staple hemorrhidectomy outcome Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/20000a01d0274672adc6d466bb2805cf
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spelling	oai:doaj.org-article:20000a01d0274672adc6d466bb2805cf2021-11-16T03:02:41ZIS STAPLED HEMORRHOIDECTOMY A SAFE PROCEDURE FOR THIRD AND FOURTH GRADE HEMORRHOIDS0030-96482411-8842https://doaj.org/article/20000a01d0274672adc6d466bb2805cf2019-02-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2503/2058https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare the complications of Stapled Hemorrhoidectomy procedure among the patients of grade 3 and 4 hemorrhoids at a tertiary care teaching hospital of Pakistan. Study Design: Observational study. Place and Duration of Study: Combined Military Hospital Rawalpindi, from 01 Jan 2018 to 31 Oct 2018. Material and Methods: A prospective study was conducted on 87 patients of grade 3 and 4 hemorrhoids diagnosed by consultant surgeon undergoing Stapled Hemorrhoidectomy at surgical unit of CMH RWP during the study period. Longos technique was used to perform the hemorrhoidectomy. Detailed assessment regarding all the complications was done immediately after the procedure at 48 hours, at time of discharge and two weeks after the procedure. VAS score was applied to assess the post-operative pain. Results: A total of 87 patients were included in the final analysis that underwent the staple hemorrhidectomy. Male to female ratio was 1.71:1. Post-operative pain was the commonest complication among the target population followed by bleeding. Mean age of patients who underwent the surgery was 41.13 (± 5.995). Most of the patients had grade three hemorrhoids. Out of 87 patients, 06 (6.9%) had bleeding, 11 (12.6%) had post-operative pain, 04 (4.6%) had prolapse and 03 (3.4%) had anal stenosis. Conclusion: Stapled hemorrhidectomy emerged as a safe and feasible technique for grade 3 & 4 hemorrhoids in our population. It should be preferred over the conventional hemorrhoids surgery in order to minimize the post-operative complications and improve the comfort of the patient. Special attention should be given..........Tanveer AbbasRasikh MaqsoodMubashar Ahmed BajwaMuhammad Talha AkhtarArmy Medical College Rawalpindiarticlesafety profilestaple hemorrhidectomyoutcomeMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 1, Pp 92-96 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	safety profile staple hemorrhidectomy outcome Medicine R Medicine (General) R5-920
spellingShingle	safety profile staple hemorrhidectomy outcome Medicine R Medicine (General) R5-920 Tanveer Abbas Rasikh Maqsood Mubashar Ahmed Bajwa Muhammad Talha Akhtar IS STAPLED HEMORRHOIDECTOMY A SAFE PROCEDURE FOR THIRD AND FOURTH GRADE HEMORRHOIDS
description	Objective: To compare the complications of Stapled Hemorrhoidectomy procedure among the patients of grade 3 and 4 hemorrhoids at a tertiary care teaching hospital of Pakistan. Study Design: Observational study. Place and Duration of Study: Combined Military Hospital Rawalpindi, from 01 Jan 2018 to 31 Oct 2018. Material and Methods: A prospective study was conducted on 87 patients of grade 3 and 4 hemorrhoids diagnosed by consultant surgeon undergoing Stapled Hemorrhoidectomy at surgical unit of CMH RWP during the study period. Longos technique was used to perform the hemorrhoidectomy. Detailed assessment regarding all the complications was done immediately after the procedure at 48 hours, at time of discharge and two weeks after the procedure. VAS score was applied to assess the post-operative pain. Results: A total of 87 patients were included in the final analysis that underwent the staple hemorrhidectomy. Male to female ratio was 1.71:1. Post-operative pain was the commonest complication among the target population followed by bleeding. Mean age of patients who underwent the surgery was 41.13 (± 5.995). Most of the patients had grade three hemorrhoids. Out of 87 patients, 06 (6.9%) had bleeding, 11 (12.6%) had post-operative pain, 04 (4.6%) had prolapse and 03 (3.4%) had anal stenosis. Conclusion: Stapled hemorrhidectomy emerged as a safe and feasible technique for grade 3 & 4 hemorrhoids in our population. It should be preferred over the conventional hemorrhoids surgery in order to minimize the post-operative complications and improve the comfort of the patient. Special attention should be given..........
format	article
author	Tanveer Abbas Rasikh Maqsood Mubashar Ahmed Bajwa Muhammad Talha Akhtar
author_facet	Tanveer Abbas Rasikh Maqsood Mubashar Ahmed Bajwa Muhammad Talha Akhtar
author_sort	Tanveer Abbas
title	IS STAPLED HEMORRHOIDECTOMY A SAFE PROCEDURE FOR THIRD AND FOURTH GRADE HEMORRHOIDS
title_short	IS STAPLED HEMORRHOIDECTOMY A SAFE PROCEDURE FOR THIRD AND FOURTH GRADE HEMORRHOIDS
title_full	IS STAPLED HEMORRHOIDECTOMY A SAFE PROCEDURE FOR THIRD AND FOURTH GRADE HEMORRHOIDS
title_fullStr	IS STAPLED HEMORRHOIDECTOMY A SAFE PROCEDURE FOR THIRD AND FOURTH GRADE HEMORRHOIDS
title_full_unstemmed	IS STAPLED HEMORRHOIDECTOMY A SAFE PROCEDURE FOR THIRD AND FOURTH GRADE HEMORRHOIDS
title_sort	is stapled hemorrhoidectomy a safe procedure for third and fourth grade hemorrhoids
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/20000a01d0274672adc6d466bb2805cf
work_keys_str_mv	AT tanveerabbas isstapledhemorrhoidectomyasafeprocedureforthirdandfourthgradehemorrhoids AT rasikhmaqsood isstapledhemorrhoidectomyasafeprocedureforthirdandfourthgradehemorrhoids AT mubasharahmedbajwa isstapledhemorrhoidectomyasafeprocedureforthirdandfourthgradehemorrhoids AT muhammadtalhaakhtar isstapledhemorrhoidectomyasafeprocedureforthirdandfourthgradehemorrhoids
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IS STAPLED HEMORRHOIDECTOMY A SAFE PROCEDURE FOR THIRD AND FOURTH GRADE HEMORRHOIDS

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