Hemorrhoidectomy

To compare by prospective randomised trial the postoperative tissue reaction of stapled vs. conventional hemorrhoidectomy.

Fifty patients with stage III hemorrhoids underwent surgery for hemorrhoids. Group 1 had the Milligan-Morgan procedure;Group 2 had a stapled hemorrhoidectomy. All patients underwent measurements of endothelial dysfunction markers including E-selectin, P-selectin and intercellular adhesion molecule. (Acute-phase proteins including C-reactive protein, orosomucoid and fibrinogen were also measured. Estimations were made prior to surgery, immediately afterward surgery and on the first and fifth postoperative days. Assessment of clinical outcome was made one month after the surgery.

There was a postoperative increase of acute-phase reactants in both groups. The patterns of the cures of the monitored parameters appeared similar in both groups. Lower values were found in Group 1, but the difference was not statistically significant except the level of fibrinogen on day 5, which was significantly higher in Group 2. E-selectin, P-selectin and ICAM showed similar time curves. Statistical analysis found the differences to be significant only when individual days were compared and not for the types of surgery. Raised ICAM and P-selectin on the fifth postoperative day was found in both groups. In Group 1, pain assessment by patients remained in the lower part of the pain rating scale, while in Group 2 it did not start declining until one week after surgery and became normal in the third to fourth weeks. In Group 1, the duration of hospitalization and the duration of incapacity for work were 50% of the values in Group 2.  Patients having stapled hemorrhoidectomy have less pain and experience more rapid recovery when compared to classical hemorroidectomy.

Throught its history, there have been many complaints about the common hemorrhoidectomy, heal times are longer than most procedures and side effects in some cases can be very uncomfortable. Please do your own research to figure out which procedure is right for you.

This was mirrored by the acute-phase protein CRP and fibrinogen levels postoperatively. There was no significant difference in other acute-phase reactants monitored, nor was there any difference in parameters of endothelial dysfunction. The techniques differ in extent of pain and duration of hospital stay and incapacity for work.As always we would like to take this chance to remind you that there are also many non-surgical methods in the treatment of hemorrhoids. Please Keep checking our site for updates. Remember Hemorrhoids shows no prejudice they can affect us also, if you are concerned about getting hemorrohoids please read all of the informational articles that we have supplied you with.