None of the patients in any of the groups had any postoperative wound infection. The average time to return to work in the stapled group was 5.3 days as against 13.2 in the open group and 13.1 days in the closed group. The average duration of hospital stay for the stapled group was 1.5 days and for the open and the closed group it was 5.8 days and 6.2 days, respectively. Pain during the passage of stools was considerably less in the stapled group.

The average pain scores on postoperative day 1, day 2 and day 3 in the stapled group were 3.8, 2.4 and 1.6 as against 5.6, 4.6 and 4.1 in the open group and 5.4, 4.3 and 3.9 in the closed group, respectively. Closed haemorrhoidectomy took an average of 62 minutes (45-80min.). The average time taken for a stapled haemorrhoidectomy was 45.75 minutes and for an open one it was 38.75 minutes. In the study, 22 patients had grade II and 28 patients had grade III haemorrhoids. Mass per anus, pain during defecation and constipation were the predominant symptoms. Results: The mean age was 45 years the majority of the patients were males. The patients were followed up for 6 months. Pain was assessed using the visual analogue scale.

Materials and Methods: This non-randomised prospective study included 50 patients (stapled haemorrhoidectomy (n=20), open haemorrhoidectomy (n=20) and closed haemorrhoidectomy (n=10). Aim: To make a comparative assessment of the following procedures for haemorrhoids: a) Stapled haemorrhoidectomy b) Open haemorrhoidectomy and c) Closed haemorrhoidectomy, in terms of operating time, postoperative pain, postoperative complications (immediate and late), hospital stay, time to return to work, and cost of the procedure.

Pph stapled hemorrhoidectomy