Original Research Article
Year: 2020 | Month: November | Volume: 7 | Issue: 11 | Pages: 9-15
Comparison of Bipolar Vessel Sealing Device Haemorrhoidectomy Vs Stapled Haemorrhoidopexy: A Prospective Study
Mohammad Faisal1, Rashid Murtaza2, Devadatta Poddar3
1Senior Resident, Department of Surgery, ABVIMS & Dr. RML Hospital, New Delhi.
2Senior Resident, Department of Surgery, ABVIMS & Dr. RML Hospital, New Delhi.
3Associate Professor, Department of Surgery, ABVIMS & Dr. RML Hospital, New Delhi.
Corresponding Author: Devadatta Poddar
ABSTRACT
Aim: To study and compare the results of haemorrhoidectomy using bipolar vessel sealing device and stapled haemorrhoidopexy.
Study Design: Prospective observational study.
Material and Method: The study was conducted at a tertiary care teaching hospital. The sample size was 60, patients with grade 3 and grade 4 hemorrhoids only included in study. Patients are randomly divided in two groups. The first group was operated by Bipolar Vessel Sealing Device (LIGASURE), whereas the second group patients were treated by stapled hemorrhoidopexy.
Statistical Analysis: The statistical analysis was done using statistical software package SPSS v22.0. Categorical variables were presented in number (n) and percentage (%) and continuous variables were presented as mean±SD. Continuous variables were compared using t-test/Mann-Whitney test and ordinal/nominal data was compared using Chi square/Fisher’s test.
Result: It was observed that Bipolar Vessel Sealing Device takes less operative time, there was no residual skin tag and lower incidence of recurrence as compared to stapled hemorrhoidopexy; where patient had low postoperative pain and infection. There was no significant difference in postoperative urinary retention and procedure related early anal stenosis. Both the treatment modalities are effective; Bipolar Vessel Sealing Device hemorrhoidectomy has an edge over Stapled hemorrhoidopexy with respect to number of outcome variables.
Conclusion: Both treatment modalities were efficacious when compared to conventional haemorrhoidal surgeries. Bipolar VSDH haemorrhoidectomy was found to have edge over stapled haemorrhoidopexy.
Keywords: Bipolar Vessel Sealing Device (VSDH), Stapled Hemorrhoidopexy (SH), Hemorrhoid, Hemorrhoidectomy.
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