HAEMORRHOIDECTOMY FOR ADVANCED HAEMORRHOIDAL DISEASE, COMPARATIVE STUDY BETWEEN THE CONVENTIONAL AND MODERN TECHNIQUES
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Surgical excision is considered the ideal treatment for the third and fowl!? degree haemorrhoids. Inspit of being safe, surgical excision is liable to some complications as postoperative bleeding, pain, discharge, stenosis and recurrence. So, a wide variety of techniques had been developed to avoid these complications This study was performed for two hundred patients complaining of third or fourth degree haemorrhoidal disease. Their ages ranged between 18 and 66 years, (mean 40.28 + 11.84 years). The patients were divided into four groups. Group I, (50 patients), for whom stapler haemorrhoidectomy was done. Group II, (50 patients), for whom rubber hand ligation was performed Group (50 patients), for whom Good-Sall 's stitch technique 11,05 done. Group IV (50 patients). .for whom conventional haemorrhodectomy was pet-Firmed. The aim of this study was evaluation of the four techniques regarding, the operative lime, hospital stay time off-work. postoperative pain. bleeding and postoperative complications: For each technique the study concluded that: The shortest mean operative dine 11OS ill group 11. (5.7 ± 2.14 wins). The shortest hospital stay and shortest time-off work l"as in group 11, (1.60 ÷ 0.91 days) and (3.12 + 1.39 days) respectively. Minimal post operative pain was in group I The highest incidence ofpost operative Inil701" bleeding, prurifis and wound discharge was recorded in group IV. The highest incidence of recurrence was recorded in group 11 The results seen with stapler haemorrhoidectomy are very promising and actually superior to that of conventional haemorrhoidectomy in treatment of third and fourth degrees haemorrhoidal disease. COSI 1147iell remains high, seems to be balanced by the superior results obtained and the significant rapid return to normal activities and patient satisfaction.