A RANDOMIZED TRIAL TO COMPARE PILE SUTURING WITH HEMORRHOIDECTOMY FOR TREATMENT OF THIRD AND FOURTH DEGREE HAEMORRHOIDS

A Randomized Trail for Haemorrhoids

Abstract

Objectives: The objective of the study was to compare the outcome of pile suturing and conventional haemorrhoidectomy in patients with third and fourth degree haemorrhoids.
Study design: Quasi experimental study
Place and Duration of Study: This study carried out in Combined Military Hospital (CMH) Lahore from January 2007 to July 2007.
Subjects and Methods: A total of 60 patients having hemorrhoids were included in the study and distributed between two equal groups .Group A for pile suturing was compared with group B for hemorrhoidectomy. Digital rectal examination (DRE), proctoscopy and sigmoidoscopy were done for assessment and planning. Chi square test was applied. Treatment response and complications were assessed over a follow up period of three weeks.
Results: In pile suturing symptomatic cure was achieved in 22(73.3%) patients ( No pain, stoppage of bleeding and mucus discharge). While in hemorrhoidectomy it was achieved in 12(40%) patients. However only mucus discharge is less in pile suturing then hemorrhoidectomy all other variables were same.
Conclusions: The results shows that only one P-value of mucus discharge was significant therefore pile suturing is slightly better then hemorrhoidectomy. Pile suturing is a safe, effective, and swift method for treatment of prolapsed hemorrhoids. The procedure causes minimal pain and chances of complications are perceptibly less. The wound healing is quick, allowing an early return to normal activity.