Comparative Study between Stapler and Open Haemorrhoidectomy in the Management of Grade III / IV Haemorrhoids

Background: Milligan Morgan haemorrhoidectomy is the most widely practiced Gold standard surgical technique for the management of 3rd and 4th degree haemorrhoids. Staplers are novel methods known for its simplicity, ease and standardization to an anastomosis. Methods: A prospective randomized control study was done including 60 consecutive patients. The patients were divided into two groups’ viz. Stapler hemorrhoidectomy and Open haemorrhoidectomy group. Significant difference was estimated using Chi Square test and Student’s „t‟ independent test. Level of significance was taken as 0.05. Results: Sixty patients in two equal groups were studied. The mean operating time for open group was significantly higher than the stapled group (P = 0.0001). The SH group returned to normal activity significantly early. There was no significant difference in pain score on day one. Pain score was significantly lower for the SH group on days 2 and 3. Conclusions: Operative time, duration of hospital stay and return to normal activity were satisfactory with stapler haemorrhoidectomy than the open method