Comparative study between open haemorrhoidectomy and transanal suture haemorrhoidopexy

Introduction:Haemorrhoids are the most common disorder of the anal canal. Different surgical modalities are available for the management of grade III and grade IV haemorrhoids which do not respond to the conservative managements. Post-operative pain and recurrence are the most common complications. Stapler haemorrhoidectomy, Doppler guided arterial ligation, laser though claim to be beneficial are costlier and not available in the rural areas, where open haemorrhoidectomy is the treatment of choice. In our study we have compared the open haemorrhoidectomy with trans anal suture haemorrhoidopexy which has all the benefits, can be accepted and performed for the rural people. Aim:To compare the outcome of open haemorrhoidectomy with trans anal suture haemorrhoidopexy in grade III and grade IV haemorrhoids. During the period Nov 2018-Oct 2020, 30 patients were operated by open haemorrhoidectomy and 30 by trans anal suture haemorrhoidopexy. Data for early and late complications along with period of hospital stay and time for return to work were collected and compared.Results:Suture haemorrhoidopexy resulted in less post-operative pain, less requirement of analgesia, less period of hospital stay, early return to work with less post-operative complications. It can be recommended as safe cost effective alternative procedure for haemorrhoidectomy