OBJECTIVE To evaluate short term clinical outcome after stapled haemorrhoidectomy. METHODS From May 2005 to Oct 2007, 55 patients with symptomatic late 2nd and 3rd degree haemorrhoids were admitted to Surgical Ward 2, Jinnah Postgraduate Medical Centre. All of them underwent stapled haemorrhoidectomy after routine preoperative preparation. Postoperatively, pain scores, complications, hospital...

Background and Aims This study compared if perianal block using ropivacaine and dexmedetomidine was as good as spinal anesthesia (SA) using bupivacaine (heavy) for closed hemorrhoidectomies. Methods A prospective randomized study was conducted in sixty patients who underwent closed hemorrhoidectomy. Thirty patients of Group A received SA. Thirty patients in Group B received local perianal blo...

OBJECTIVE Hemorrhoids are normal elements of the anal canal anatomy and they become symptomatic with potential factors such as gravity or strain. When symptomatic, hemorrhoidal disease can be costly measured in time away from productive activities. The aim of the study was to assess changes in the quality of life of patients after hemorrhoidectomy using Short Form-36. MATERIAL AND METHODS Thi...

Background Haemorrhoidectomy is frequently associated with significant postoperative pain and prolonged hospital stay; different techniques and devices have been developed to overcome these problems, including modifications of the technique (excision without legation) and introduction of new surgical instruments (LigasureTM, Harmonic ScalpelTM). We evaluated the surgical outcomes of Milligan Mo...

Background: The most common complication after hemorrhoidectomy is almost always postoperative. This dreadful makes the patients postpone treatment even for prolapsing, bleeding, and uncomfortable piles. There are different methods that can be used reducing pain including performing a lateral internal sphincterotomy (LIS). Better outcome of combined with has been observed in few past controlled...

This is a prospective study aimed to compare the results of stapled hemorrhoidopexy with LigaSure Haemorrhoidectomy. This study included 50 patients who were divided into 25 patients underwent stapled hemorrhoidopexy and 25 patients underwent LigaSure Haemorrhoidectomy. Operat ion t ime and postoperative progress was assessed. Postoperative pain was assessed using visual analogue scale. Patient...

Excisional technique according to Milligan-Morgan remains the most effective approach for patients with grade III-IV hemorrhoids [1]. However, it is usually associated with significant postoperative pain that may result in severe patient discomfort and in a delayed return to daily activities. Pain seems to be multifactorial, depending on factors such as individual tolerance, method of anesthesi...