Surgical excision is considered the ideal treatment for the third and fourth 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., Onean 40.28 ÷ 11.84 years). The patients were divided into four groups.
Group I, (50 patients), for WhOlnstapler haemorrhoidectomy was done. Group II, (50 patients), for
whom rubber band ligation was performed. Group III, (50 patients), for whom Good-Sail's stitch
technique was done. Group IV (50 patients). for whom conventional haemorrhodeciomy was
performed The an of this .ynitly WILY militant»i of the,finir techniques regarding, the Operative
time, hospital stay time off work. postoperative pain. bleeding and postoperative complications:
For each technique the study concluded that:
The shoriest mean operative time was in group II (5.7 ± 2.14 nuns). The shortest hospital slay
and shortest time-offwork was in group II, (1.60 ÷ 0.91 days) and (3.12 + 1.39 days) respectively.
Minimal post operative pain was in group I The highest incidence of postoperative minor bleeding,
pruritis 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. Cost which remains high. seems to be balanced by the superior
results obtained and the significant rapid return to normal activities and patient satisfaction. |
