Introduction: Studies have suggested that stapled hemorrhoidopexy results in less postoperative pain and shorter recovery compared with conventional surgery, but a higher rate of recurrence. The present study aimed to assess the advantage and feasibility of stapled hemorrhoidopexy versus conventional hemorrhoidectomy in grade 3 and grade 4 hemorrhoids and to compare the short term outcomes of stapled hemorrhoidopexy with conventional hemorrhoidectomy in a teaching hospital in Central India. Methods: After fulfilling the selection criteria, 100 patients were randomly allocated to the stapled (n = 50) or conventional group (n = 50). All patients were operated under spinal anesthesia. The 2 techniques were evaluated with respect to the operative time, pain scores, complications, hospital stay, return to work, and level of satisfaction. The follow-up period was 6 months. Results: The mean age of patients was 46.02 years in the stapled group and 48.64 years in the conventional group. Hemorrhoids were more common in men. Conclusion: Stapled hemorrhoidopexy is a safe and effective day-care procedure for the treatment of grade 3 and grade 4 hemorrhoids. It ensures lesser postoperative pain, early discharge, less time off work, and complications similar to the conventional technique, and in the end a more satisfied patient with no perianal wound.
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