Dr Viraj C Shinde, Dr Brijesh U Patil


BACKGROUND– The use of circular staplers in the treatment of hemorrhoidal disease is known as a simple procedure,
with low morbidity, less post-treatment pain and with the same efcacy when compared to the classical
AIM– Analyze the operative technique, intra-operative and immediate postoperative complications and late results in 100 patients treated for
hemorrhoid disease by stapling technique.
PATIENTS AND METHODS– The group included 53 males and 47 females with mean age of 49.8 years, operated during the period June 2015
to June 2017 in the Tertiary Care Centre- SKNMC and GH.
RESULTS– The majority of patients (78%) were discharged on the rst post-operative day. Eight patients required supplementary analgesia and
were given intramuscular diclofenac sodium and four of them received intramuscular tramadol. The postoperative follow-up displayed:
recurrence of prolapse, ve cases (5%); anal sub-stenosis, two cases (2%); anal ssure, one case (1%); persistent pain, two cases (2%). Seven
reoperations were performed: one due to bleeding, one due to sub-stenosis and ve due to recurrence of hemorrhoidal prolapse and persistence of
CONCLUSION– Stapling is simple to accomplish, has low postoperative pain and rate of complications.


Hemorrhoids, Fissure, prolapse, Surgical staplers.

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