A descriptive study of day care stapled hemorrhoidopexy surgery in grade-4 hemorrhoids under pudendal block
Background: Hemorrhoids are one of the most common afflictions of human beings from times immemorial. It is said that 40% of population have symptoms due to hemorrhoids at some time in their lives. Stapled hemorrhoidopexy under local anesthesia has been emerging as the procedure of choice for sympto...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2023-03-01
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| Series: | Asian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/51071 |
| _version_ | 1811161692845899776 |
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| author | Arvind Kumar Shukla Avinash Goutam Saranshi Shrivastava Varsha Dhakad Meher Kalsi Srashti Shah |
| author_facet | Arvind Kumar Shukla Avinash Goutam Saranshi Shrivastava Varsha Dhakad Meher Kalsi Srashti Shah |
| author_sort | Arvind Kumar Shukla |
| collection | DOAJ |
| description | Background: Hemorrhoids are one of the most common afflictions of human beings from times immemorial. It is said that 40% of population have symptoms due to hemorrhoids at some time in their lives. Stapled hemorrhoidopexy under local anesthesia has been emerging as the procedure of choice for symptomatic hemorrhoids.
Aims and Objectives: The objectives of the study are as follows: (1) To assess the advantage of performing stapled hemorrhoidopexy under local pudendal block. (2) To study the post-operative complications after stapled hemorrhoidopexy. (3) To assess the feasibility of stapled hemorrhoidopexy in grade IV hemorrhoids. (4) To assess the advantages of stapled hemorrhoidopexy in anal skin regression after surgery.
Materials and Methods: 50 patients of grade 4 hemorrhoids were operated by hemorrhoid stapler under local anesthesia.
Results: Stapled hemorrhoidopexy under local anesthesia can be safely performed as a day care procedure in grade IV hemorrhoids. Patients following stapled hemorrhoidopexy under local anesthesia have reduced post-operative pain, hospital stay, analgesic requirements, and earlier return to work, early mobility out of bed, less operative time, short learning curve, less operative complications, cost effectiveness, and good patient satisfaction.
Conclusion: Stapled hemorrhoidopexy under local anesthesia is feasible to be used in those patients who are unwilling and unfit for other modes of anesthesia with better results with lesser complication rate and as a day care procedure. |
| first_indexed | 2024-04-10T06:18:28Z |
| format | Article |
| id | doaj.art-64ec44ffa5554967a696c0e1d8d9a2b1 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-04-10T06:18:28Z |
| publishDate | 2023-03-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-64ec44ffa5554967a696c0e1d8d9a2b12023-03-02T05:15:54ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762023-03-01143246251https://doi.org/10.3126/ajms.v14i3.51071A descriptive study of day care stapled hemorrhoidopexy surgery in grade-4 hemorrhoids under pudendal blockArvind Kumar Shukla 0https://orcid.org/0000-0001-6441-0701Avinash Goutam 1https://orcid.org/0000-0002-0644-6965Saranshi Shrivastava 2https://orcid.org/0000-0002-9790-1811Varsha Dhakad 3Meher Kalsi 4https://orcid.org/0000-0003-4339-8533Srashti Shah 5https://orcid.org/0000-0002-5666-045XAssociate Professor, Department of Surgery, MGM Medical College and M.Y. Hospital, Indore, Madhya Pradesh, India Assistant Professor, Department of Surgery, MGM Medical College and M.Y. Hospital, Indore, Madhya Pradesh, India Senior Resident, Department of Surgery, MGM Medical College and M.Y. Hospital, Indore, Madhya Pradesh, India Associate Professor, Department of Surgery, MGM Medical College and M.Y. Hospital, Indore, Madhya Pradesh, IndiaPost Graduate Resident, Department of Surgery, MGM Medical College and M.Y. Hospital, Indore, Madhya Pradesh, India Post Graduate Resident, Department of Surgery, MGM Medical College and M.Y. Hospital, Indore, Madhya Pradesh, India Background: Hemorrhoids are one of the most common afflictions of human beings from times immemorial. It is said that 40% of population have symptoms due to hemorrhoids at some time in their lives. Stapled hemorrhoidopexy under local anesthesia has been emerging as the procedure of choice for symptomatic hemorrhoids. Aims and Objectives: The objectives of the study are as follows: (1) To assess the advantage of performing stapled hemorrhoidopexy under local pudendal block. (2) To study the post-operative complications after stapled hemorrhoidopexy. (3) To assess the feasibility of stapled hemorrhoidopexy in grade IV hemorrhoids. (4) To assess the advantages of stapled hemorrhoidopexy in anal skin regression after surgery. Materials and Methods: 50 patients of grade 4 hemorrhoids were operated by hemorrhoid stapler under local anesthesia. Results: Stapled hemorrhoidopexy under local anesthesia can be safely performed as a day care procedure in grade IV hemorrhoids. Patients following stapled hemorrhoidopexy under local anesthesia have reduced post-operative pain, hospital stay, analgesic requirements, and earlier return to work, early mobility out of bed, less operative time, short learning curve, less operative complications, cost effectiveness, and good patient satisfaction. Conclusion: Stapled hemorrhoidopexy under local anesthesia is feasible to be used in those patients who are unwilling and unfit for other modes of anesthesia with better results with lesser complication rate and as a day care procedure.https://www.nepjol.info/index.php/AJMS/article/view/51071local anesthesia; grade 4 hemorrhoides; pudendal block; stapled hemorrhoidopexy |
| spellingShingle | Arvind Kumar Shukla Avinash Goutam Saranshi Shrivastava Varsha Dhakad Meher Kalsi Srashti Shah A descriptive study of day care stapled hemorrhoidopexy surgery in grade-4 hemorrhoids under pudendal block Asian Journal of Medical Sciences local anesthesia; grade 4 hemorrhoides; pudendal block; stapled hemorrhoidopexy |
| title | A descriptive study of day care stapled hemorrhoidopexy surgery in grade-4 hemorrhoids under pudendal block |
| title_full | A descriptive study of day care stapled hemorrhoidopexy surgery in grade-4 hemorrhoids under pudendal block |
| title_fullStr | A descriptive study of day care stapled hemorrhoidopexy surgery in grade-4 hemorrhoids under pudendal block |
| title_full_unstemmed | A descriptive study of day care stapled hemorrhoidopexy surgery in grade-4 hemorrhoids under pudendal block |
| title_short | A descriptive study of day care stapled hemorrhoidopexy surgery in grade-4 hemorrhoids under pudendal block |
| title_sort | descriptive study of day care stapled hemorrhoidopexy surgery in grade 4 hemorrhoids under pudendal block |
| topic | local anesthesia; grade 4 hemorrhoides; pudendal block; stapled hemorrhoidopexy |
| url | https://www.nepjol.info/index.php/AJMS/article/view/51071 |
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