Abstract To assess the results of stapled hemorrhoidopexy in 50 patients diagnosed with symptomatic grade-II, -III, or -IV internal hemorrhoids followed up for about 3 months after surgery to assess the complications and recurrence of the hemorrhoids. The present is a prospective study of 50 patients with grade II–IV internal hemorrhoids who underwent stapled hemorrhoidopexy at Dr. Vithalrao Vikhe Patil Foundation's Medical College and Hospital, Ahilyanagar, between May 2018 and October 2020. Eligible patients were selected after informed consent and thorough evaluation. Surgeries were done under spinal anesthesia using a 34-mm stapler. Postoperative assessments included pain, bleeding, urine retention, and recurrence, with follow-ups up to 12 weeks. Histopathology of the excised tissue was also performed. The study included 50 patients (mean age 46.38 years), with per rectum (PR) bleeding (64%) and prolapse (36%) as the main symptoms. Most patients had grade-II or -III hemorrhoids, and 82% were anemic. The mean operating time was 33.7 minutes with minimal blood loss (mean 20.7 ml). Postoperative pain decreased significantly by day 3, and no anal incontinence or stricture was observed. One patient (2%) had recurrence at 6 and 12 weeks. The conclusion of our study is that stapled hemorrhoidopexy has excellent postoperative results, especially regarding postoperative pain, bleeding, anal incontinence, anal stricture and recurrence. It is safe, easy to learn, and highly effective in the management of symptomatic grade-II, -III, and -IV internal hemorrhoids.
Doke et al. (Thu,) studied this question.