SUTURE HEMORRHOIDOPEXY VS OPEN HEMORRHOIDECTOMY: COMPARISON OF POST OPERATIVE COMPLICATIONS

Dr Dinesh Prasad, Dr Sagar Patel

Abstract


Suture hemorrhoidopexy (chivate's procedure) is a new invention by an indian surgeon for managing 2nd, 3rd and 4th degree hemorrhoids. It is based
on principles of plication of vessels in the rectum above dentate line at two different levels by blocking of blood supply and preventing the neo
vascularisation and anchoring the rectal mucosa and submucosa to parks ligament.
MATERIALS AND METHOD: data of patients who underwent suture hemorrhoidopexy and open hemorrhoidectomy between november 2017 to
october 2019 were evaluated retrospectively. 30 patients were underwent suture hemorrhoidopexy (group A) and 30 patints underwent for open
hemorrhoidectomy (group B). Operative duration, first defecation after surgery, immediate, early, delayed post operative complications and
duration of hospital stay were evaluated.
RESULTS: Mean Operative duration for group A was 54 mins and for group B, it was 37 mins. Incidence of Postoperative pain i.e VAS score > 2 is
40 % for group A and 80% for group B. Mean Hospital stay for group A was 3 days for group A and 4 days for group B. Mean postoperative bleeding
is more in group B than group A (45gms & 25 gms). Incidence of Postoperative urinary retention is more in group B than group A (37% & 13%).
Recurrence is more with group B than group A (40% & 6%).
CONCLUSIONS: Suture hemorrhoidopexy can be recommended as a safe alternative approach for surgical treatment of hemorrhoids than open
hemorrhoidctomy after adequate training


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