Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Hemorrhoids are the most common benign anorectal diseases. Recto Anal Repair (RAR) without doppler guidance is a relatively cost‐effective procedure for treatment of Grade 3 and Grade 4 hemorrhoids. In this study, we evaluate the Safety and efficacy of RAR without doppler guidance in treating Grade 3 and Grade 4 hemorrhoids. We conducted a Retrospective Randomised Observational study on total of 100 patients of Grade III and IV hemorrhoids who treated by Recto anal repair without doppler guidance. A visual analogic scale (VAS) was used to measure postoperative pain. Outpatient follow‐up at 15 days, 1 month, 3 months and 1 year was recorded. The data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 23. Among the studied patient’s males were in predominance (79.0%) and the mean age was 47.0±13.5 years. Postoperative VAS score of pain was reduced significantly to 0.0±0.0 at 3 months from 3.2±0.7 at 24 hours (p<0.001) and the mean hospital stay was 3.2±0.6 days. Majority postoperative complication was found Localized Edema in 14.0% of patients. Bleeding in 6.0% patients and prolapse in 3.0% of patients had occurred as recurrence of symptoms. One year subsequent to treatment with RAR, only in grade IV 2 (3.6%) cases were having chronic pain. We observed that RAR without doppler guidance is a simple, safe and cost‐effective ambulatory treatment for the patients of symptomatic haemorrhoids. It might be considered for the treatment of grades 3 and 4 hemorrhoids effectively.
How to cite this article:
Satish Deshpande, Vaibhav Verma and Dinesh Jagtap. A Study on Recto Anal Repair in grade 3 and 4 Hemorrhoids without Doppler Guidance.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.485.491
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.485.491