Stapled Haemorrhoidopexy: Comorbidities and Outcome

Aim: Stapled haemorrhoidopexy (SH) is one of the commonly performed procedure for grade 3 haemorrhoids. High-risk surgical patients require additional care and are reported to have high morbidity. The present study is aimed to analyze the outcome of SH in high-risk patients.

Study Design: Retrospective analysis of prospectively maintained data.

Place and Duration of Study: Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India, between2005-2019.

Methodology: Data of all the patients who underwent SH between 2005-2019 were retrieved from the hospital database. The outcome of the surgery in high-risk patients was compared with patients without the risk factor.

Results: There were a total of 136 patients (101 males and 35 females) in the age range of 16- 87 years. 67 patients (49.3%) had high-risk factors in the form of single or multiple comorbidities and those more than 65 years of age. Three patients (2.2%) had bleeding in the postoperative period. One of them required reoperation. Two patients had a recurrence of the disease on the long term follow up. There was no mortality.

Conclusion: SH can be safely performed in elderly patients, patients at high risk for bleeding and also in patients with associated comorbidities.