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Introduction: A unique technique for managing prolapsed hemorrhoids surgically involves stapled hemorrhoidectomy. Compared to open hemorrhoidectomy, it resulted in quicker convalescence duration despite a significant increase in cost. The aim of the study was to compare the effectiveness, short- and long-term outcomes, and post-operative complications of open vs staped. Methods: 60 patients in the age group 20 to 50 years, weight 45-80 kgs, and ASA grade of I and II were elected for the surgery, diagnosed with hemmorid grad III and IV and were divided into two groups. Group I contains 30 Patients operated under Open hemorrhoidectomy/ Milligan Morgan and Group- II 30 Patients operated under Stapler hemorrhoidectomy. Results: Results were found to be better with the staple technique. There was significantly less pain in the post- operative period with faster recovery, There was no postoperative infection in the SH patients, early resumption to walk, reduced postoperative complications of the patients operated by the SH technique as compared to open technique. Conclusion: Stapler haemorrhoidectomy requires less intra- operative time, less hospital stay and less post-operative pain. Return to normal activity is also faster with stapler surgery then open haemmorrhoidectomy.
Riyaz et al. (Fri,) studied this question.