Our initial experience of three versus two rows circular stapler devices for stapled hemorrhoidopexy: a single institution review of 224 cases

Authors

  • Paritosh Gupta Department of Minimal Access and Metabolic Surgery, Artemis Hospital, Gurugram, Haryana, India
  • Dhruv N. Kundra Department of Minimal Access and Metabolic Surgery, Artemis Hospital, Gurugram, Haryana, India
  • Amanpriya Khanna Department of Minimal Access and Metabolic Surgery, Artemis Hospital, Gurugram, Haryana, India
  • Akanksha Aggarwal Department of Minimal Access and Metabolic Surgery, Artemis Hospital, Gurugram, Haryana, India
  • Kanu Kapoor Department of Minimal Access and Metabolic Surgery, Artemis Hospital, Gurugram, Haryana, India

DOI:

https://doi.org/10.18203/2349-2902.isj20200505

Keywords:

Haemorrhoid, Haemostasis, Stapled haemorrhoidopexy

Abstract

Background: Stapled haemorrhoidopexy is a non-excisional approach for haemorrhoids as opposed to conventional open Milligan-Morgan and Ferguson closed haemorrhoidectomy techniques. It repositions the prolapsed haemorrhoid tissue and also causes vascular interruption to the haemorrhoids. This causes faster recovery and lesser post-operative pain.

Methods: In authors institute, stapled haemorrhoidopexy was being carried out using two rows proximate PPH circular haemorrhoidal stapler. In February 2018, MIRUS three rows circular stapler was introduced. This is a retrospective observational study carried out at Artemis Hospital, Gurgaon, India. Authors studied records and operative notes of all patients who underwent stapled haemorrhoidopexy between February 2018 and September 2019 and compared key parameters.

Results: A total of 224 patients underwent stapled haemorrhoidopexy between February 2018 and September 2019. 116 using MIRUS three rows circular stapler and 108 using two rows proximate PPH circular haemorrhoidal stapler. Most of the studied parameters were comparable with only significant statistical difference seen in higher use of haemostatic sutures in two rows stapler group compared to three rows stapler group. Haemostatic sutures were needed in three row stapler group for 27 patients and in two rows stapler group for 39 patients.

Conclusions: Author’s initial experience shows slightly better haemostasis with three rows stapled haemorrhoidopexy with no significant difference in other parameters.

Author Biographies

Paritosh Gupta, Department of Minimal Access and Metabolic Surgery, Artemis Hospital, Gurugram, Haryana, India

Professor and Head of Department of Minimal Access Surgery, Artemis Hospital,Gurgaon, India

Dhruv N. Kundra, Department of Minimal Access and Metabolic Surgery, Artemis Hospital, Gurugram, Haryana, India

Fellow ,Minimal Access and Bariatric Surgery ,Artemis Hospital,Gurugram India

Amanpriya Khanna, Department of Minimal Access and Metabolic Surgery, Artemis Hospital, Gurugram, Haryana, India

Classified Specialist, Department of Minimal Access Surgery, Artemis Hospital, Gurgaon, India

Akanksha Aggarwal, Department of Minimal Access and Metabolic Surgery, Artemis Hospital, Gurugram, Haryana, India

Resident, Department of Minimal Access Surgery, Artemis Hospital, Gurgaon, India

Kanu Kapoor, Department of Minimal Access and Metabolic Surgery, Artemis Hospital, Gurugram, Haryana, India

Resident, Department of Minimal Access Surgery, Artemis Hospital, Gurgaon, India

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Published

2020-02-26

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Original Research Articles