Majumder K R, Karmakar R
Dr Krisna Rani Majumder, Associate Professor of Surgical Oncology, Department of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh; E-mail:
Mymensingh Med J. 2019 Oct;28(4):866-871.
Bleeding per rectum is one of the most alarming conditions for any patient. Haemorrhoids are a common cause of bleeding in anorectal region. Conventional Haemorrhoidectomy is associated with significant pain & morbidity so much so that patient feared of and reluctant to undergo surgery. In 1998, introduction of stapled haemorroidopexy by Longo represented a radical change in the treatment of haemorrhoids. The aim of this prospective study was to evaluate short term & long term clinical & surgical outcome of stapled haemorrhoidopexy. A sample of 130 patients with symptomatic second-, third- & fourth- degree haemorrhoids underwent stapled haemorrhoidopexy from January 2013 to December 2016 at Care Medical college & Hospital & Fast care Hospital, Dhaka. Out of these 90 patients who completed their one year follow up was included for the study & their data was analyzed. Eighty percent of patient was females & the mean age 45 (25-75 years), Mean operative time was 35 minutes (25-70 minutes). Mean hospital stay 1 day (1-2 days). Intraoperative suture was 6 and incomplete doughnut 9. Use of analgesics 5 days. All patients were followed up to at outpatient clinic 12 months postoperatively. Stapled haemorrhoidopexy for haemorrhoids is an efficient procedure with less post operative pain, lower complication rates and better patient compliance & satisfaction.
直肠出血对任何患者来说都是最令人担忧的病症之一。痔疮是肛肠区域出血的常见原因。传统痔切除术会带来严重的疼痛和发病率，以至于患者害怕且不愿接受手术。1998年，隆戈引入吻合器痔上黏膜环切术代表了痔疮治疗的根本性变革。这项前瞻性研究的目的是评估吻合器痔上黏膜环切术的短期和长期临床及手术效果。2013年1月至2016年12月期间，在达卡的护理医学院医院和快速护理医院，对130例有症状的二度、三度和四度痔疮患者进行了吻合器痔上黏膜环切术。其中90例完成一年随访的患者被纳入研究并对其数据进行分析。80%的患者为女性，平均年龄45岁（25 - 75岁），平均手术时间35分钟（25 - 70分钟）。平均住院时间1天（1 - 2天）。术中缝合6例，不完全痔块切除9例。使用镇痛药5天。所有患者术后在门诊随访12个月。吻合器痔上黏膜环切术治疗痔疮是一种有效的手术方法，术后疼痛较轻，并发症发生率较低，患者依从性和满意度较高。
