The Postoperative Complications of the Stapled Hemorrhoidectomy in the BSMMU, Bangladesh

Abstract

Background: A haemorrhoid is a communal ailment in most Western and Asian countries. However, conventional surgical treatment is related to severe pain and open wound for a long time. A new technique of haemorrhoid operation i.e. stapled Hemorrhoidectomy does not involve excision of the haemorrhoid and is thereby expected to have less pain and no open wound.
Aim of the study: The study aims to identify the postoperative complications of the stapled hemorrhoidectomy in the Bangabandhu Sheikh Mujib Medical University, Bangladesh. Methods: A prospective observational study was carried out at Bangabandhu Sheikh Mujib Medical University, Bangladesh, and different private hospitals in Dhaka city from 1st September 2007 to 31st August 2008. There were 50 patients, enrolled in this study selected randomly based on age, sex, height, nutritional conditions, and socio-economic status. Data were collected using the predesigned semi-structured questionnaire. The data
analysis was accomplished by Statistical Package for the Social Sciences (SPSS) Version 25.0. Results: Majority of the patients were male (45,90.0%) & only five patients (5,10.0%) were female. The mean age was 42.35 years. Around four-fifths of the patients
(39,78%) had constipation, six patients (6,12%) had both constipation and ingestion of spicy food, four patients (4,8%) had a pregnancy and one patient (1,2%) had no risk factors. Most of the patients (44,88%) complained of having bleeding per rectum, fortytwo patients (42,84%) had symptomatic prolapse, about half of the patients (24,48%) had pruritus, nineteen patients (19,38%) had pain, two patients (2,4%) presented with severe anaemia, requiring blood transfusion, before operation. The majority of the patients (34,68%) had per rectal bleeding during the defecation, six patients (6,12.0%) had per rectal bleeding during the micturition, four patients (4,8.0%) had per rectal bleeding during the irrespective of defecation and six patients (6,12.0%) observed no bleeding. Conclusion: Haemorrhoids are one of the most annoying diseases for patients. Stapled hemorrhoidectomy is connected with less pain, less discomfort immediate postoperative period and also restored surgical anatomy to normal. It has a few complications, but still, it is very much popular in Bangladesh.