Comparison of hemorrhoidectomy by conventional technique and suture less technique.

Abstract

Objective: To compare the surgical outcomes of hemorrhoidectomy performed by suture less with conventional technique. Study Design: Randomized Clinical Trial. Setting: DHQ Charsadda. Period: 15 May 2017 to 30 June 2018. Material & Methods: This was done on 60 admitted patients with grade 3 or grade 4 prolapsed hemorrhoids with failed conservative treatment from. These Patients were randomly assigned using sealed opaque envelopes containing computer‐generated random numbers into two groups, Group A, who would undergo scissors excision and group B would undergo diathermy without ligation. Postoperative follow up was carried till 6 months. Data were collected and analysis by using SPSS version 23. Chi square test was used to compare at level of significance <0.005. Results: Median age of Group A was 52 years with range 33-65 while In group B age ranged from 34-65 with a median age was 51 years. Length of hospital stay in both groups ranged 1-5 days, with a median of 3 days. Every patient experienced different pain at different levels but there was no statistical difference in the severity of postoperative pain between the two groups. Follow up results showed five subjects from Group A and two from Group B had mild anal strictures, which dilated with bulk laxatives alone. Conclusion: There are no significant differences in the surgical outcomes of hemorrhoidectomy done by both techniques.