The Profiles and Clinical Outcome of Stapled Hemorrhoidopexy and Open Hemorrhoidectomy Patients: A Five-Year Study in Dr. Soetomo General Hospital, Indonesia

Andy Pranata Kusuma^1* and Denny Septarendra²

Abstract

Background: There are various surgical methods for hemorrhoid. Currently, there is no data regarding the profile and clinical outcome of surgery on internal hemorrhoids, especially between open hemorrhoidectomy and stapled hemorhoidopexy at Dr. Soetomo General Hospital. We aimed to describe the profile and outcome of internal hemorrhoidal patients. Methods: We collected samples from all patients with internal hemorrhoid who visited the emergency department and outpatient from January 2018 – to April 2022. The data are secondary data taken from medical records. We collected patients’ demographic data (e.g., age and sex), disease severity, comorbidities, therapies, length of stay, and complications. Results: We recruited a total of 615 patients, consisted of 47 cases (7.6%) undergoing hospitalization and 568 (92.4%) outpatient treatment. Male patients dominate the distribution by sex, either in inpatient or outpatient settings. The mean age of patients is 46.6 years for outpatients and 44.6 years for inpatients. The majority of internal hemorrhoid grading is grade 2 for outpatient and grade 3 for inpatient. Most of the patients who came with comorbidities had metabolic disorders (48.1%). The stapled hemorrhoidopexy procedure has a fairly low level of pain than open hemorrhoidectomy. In this study, it was found that the average length of stay of patients after stapled hemorhoidopexy was shorter than open hemorrhoidectomy. Conclusion: Internal hemorrhoid patients who underwent the most surgeries at Dr. Soetomo General Hospital Surabaya is a male aged > 50 years with grade 3. Stapled hemorrhoidopexy has fewer pain complications than open hemorrhoidectomy and shorter length of stay.

Keywords

internal hemorrhoid; open hemorrhoidectomy; clinical outcome; stapled hemorhoidopexy.

Cite This Article

Kusuma, A. P., Septarendra, D. (2022). The Profiles and Clinical Outcome of Stapled Hemorrhoidopexy and Open Hemorrhoidectomy Patients: A Five-Year Study in Dr. Soetomo General Hospital, Indonesia. International Journal of Scientific Advances (IJSCIA), Volume 3| Issue 4: Jul-Aug 2022, Pages 594-599, URL: https://www.ijscia.com/wp-content/uploads/2022/08/Volume3-Issue4-Jul-Aug-No.315-594-599.pdf

Volume 3 | Issue 4: Jul-Aug 2022