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A comparative interventional study of doppler guided haemorrhoidal artery ligation with mucopexy vs open haemorrhoidectomy in the management of grade ii and grade iii haemorrhoids

Author: 
Ambala Vennela, Ajmera Rama Rao and Ciddi Veeresham
Subject Area: 
Health Sciences
Abstract: 

The study was aimed at studying the comparisonbetween Doppler guided haemorrhoidal artery ligation with mucopexy vs open haemorrhoidectomy in the management of grade ii and grade iii haemorrhoids. This study was conducted in the Department of General surgery, ESI-PGIMSR, over a period of 17months. One hundred patients diagnosed with grade II and III haemorrhoids were enrolled in the study. They were randomized in to two groups A and B. Group A undergone Doppler Guided Haemorrhoidal Artery Ligation and Group B Open haemorrhoidectomy. The mean age in group A was 38.82±9.08 and in group B was 38.80±8.89 (P=0.28). In group A, there were 17 males and 33 females and in group B, 18 males and 32 females (P = 0.83). The most common symptom in both groups was per-rectal bleeding with prolapsed haemorrhoids, followed by bleeding alone. In group A, 26 patients had grade II (52%) and 24 patients had grade III (48%) haemorrhoids and in group B, 32 patients had grade II (64%) and 18 patients had grade III (36%) haemorrhoids, so there was no statistical significance between the two groups (P=0.22). During the surgery and the early postoperative period complications were monitored in both the groups with regard to intra operative bleeding, postoperative pain, and urine retention, day of discharge and work resume time. The per-operative bleeding was monitored for both groups. In group A, 10 patients had intraoperative bleeding and ceased conservatively and in group B, 30 patients had bleeding that was controlled with simple ligature or cautery (P<0.001). The present study concludes that: The Doppler Guided Haemorrhoidal Artery Ligation and Mucopexy in comparison with Open Haemorrhoidectomy in the management of Grade II and III haemorrhoids has Low rate of immediate post-operative complications and Faster recovery with early return to work.

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