Study on prevalence and surgical management of haemorrhoids in a tertiary care teaching hospital in a rural area

A. Farook, A. Periasamy, S. Arvind, I. Kannan


Background: Haemorrhoids, which is also termed as piles characterized by the enlarged and bulged blood vessels surrounding the supporting tissues present in the anal canal of an individual. In the present study, an attempt has been made to find the prevalence of haemorrhoids and surgical management done in our geographical area.

Methods: The present study was retrospective, cross-sectional study from the period of 1st January 2013 to 31st December 2017. A total of 351 haemorrhoids patients were admitted in inpatient surgical ward during that period. The demographic details of all the patients were noted from the medical records.

Results: 219 (62%) patients were male and 132 (38%) were females. Most of the patients are predominantly adults above the age of 21 years. The post-operative stay in hospital is almost less than 10 days as it indicates that most of the patients were discharged without any complication.

Conclusions: The male patients are predominant compared to female patients. The surgical complications are less. The exact prevalence rate may be high as some patients may either undergo a self-treatment or native medicine treatment.


Haemorrhoids, Haemorrhoidectomy, Prevalence, Post-operative stay

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Stites T, Lund DP. Common anorectal problems. Semi Pediatr Surg. 2007;16:71-8.

Gordon PH, Nivatvongs S. Principles and practice of surgery for colon, rectum and anus. 1st ed. Quality Medical Publishing Inc;1992:1:10-38, 2:51-62, 8:180-97.

Steele RJC, Campbell K. Disorders of the anal canal. In: Cuschieri SA, Steele RJC, Moossa AR, editors. Essential Surgical Practice. 4th ed. London: Arnold; 2002:634-7.

Navarra L, Pietroletti R, Maggi G, Leardi S, Simi M. Diagnosis and treatment of haemorrhoids in the eldery: results from 291 patients. Techniques in Coloproctology. 2000;3(3):127-30.

Alonso-Coello P, Mills E, Heels-Ansdell D. Fiber for the treatment of hemorrhoids complications: a systematic review and meta-analysis. Am J Gastroenterol. 2006;101(1):181-8.

Johanson JF, Sonnenberg, A. The prevalence of hemorrhoids and chronic constipation. An epidemiologic study. Gastroenterology. 1990;98:380-6.

Riss S, Weiser FA, Schwameis K, Riss T, Mittlböck M, Steiner G et al. The prevalence of hemorrhoids in adults. Int J Colorectal Dis. 2012;27(2):215-20.

Halverson A. Hemorrhoids. Clin Colon Rectal Surg. 2007 May;20(2):77-85.

Pattana-arun J, Wesarachawit W, Tantiphlachiva K, Atithansakul P, Sahakitrungruang C, Rojanasakul A. A comparison of early postoperative results between urgent closed hemorrhoidectomy for prolapsed thrombosed hemorrhoids and elective closed hemorrhoidectomy. J Med Assoc Thai. 2009;92(12):1610-5.

Nienhuijs S, de Hingh I. Conventional versus LigaSure hemorrhoidectomy for patients with symptomatic Hemorrhoids. Cochrane Database Syst Rev. 2009;(1):CD006761.

Ali SA, Shoeb MFR. Study of risk factors and clinical features of hemorrhoids. Int Surg J. 2017;4:1936-9.

Kaidar-Person O, Person B, Wexner SD. Hemorrhoidal disease: A comprehensive review. J Am Coll Surg. 2007;204:102-17.

Lee JH, Kim HE, Kang JH, Shin JY, Song YM. Factors associated with hemorrhoids in korean adults: korean national health and nutrition examination survey. Korean J Fam Med. 2014;35:227-36.

Ganz RA. The Evaluation and Treatment of Hemorrhoids. Clin Gastroenterol Hepatol. 2013;11:593-603.

Navarra L, Pietroletti R, Maggi G, Leardi S, Simi M. Diagnosis and treatment of haemorrhoids in the eldery: results from 291 patients. Techniques in Coloproctology. 2000;3(3):127-30.

Kim HS, Baik SJ, Kim KH. Prevalence of and risk factors for gastrointestinal diseases in Korean Americans and native Koreans undergoing screening endoscopy. Gut Liver. 2013;7:5539-45.

Chen JS, You JF. Current status of surgical treatment for hemorrhoids-systematic review and meta-analysis. Chang Gung Med J. 2010;33:5488-500.

Chen CW, Lai CW, Chang YJ. Results of 666 consecutive patients treated with LigaSure hemorrhoidectomy for symptomatic prolapsed hemorrhoids with a minimum follow-up of 2 years. Surgery. 2013;153:2211-8.

Barron J. Office ligation of internal hemorrhoids. Am J Surg. 1963;105:563-70.

Shanmugan V, Thaha MA, Rabindranath KS, Campbell KL, Steele RJC, Loudon MA. Rubber band ligation versus excisional haemorrhoidectomy for haemorrhoids. Cochrane Database Syst Rev. 2005;20(3):CD005034.