Comparison of Excisional Stapler Hemorrhoidopexy Method and Non-Excisional Arterial Detection Ligation Method; One Year Follow-Up

Abstract Aim: Hemorrhoidal disease is a chronic disease of the lower rectum and anus occurs due to increased pressure during straining. Millions of people in the world suffer from this disease. Since the stage of the disease and the symptoms of the patients do not show parallelism, we evaluated the results of two different surgical methods; arterial detection ligation (ADL) and stapler hemorrhoidopexy (SH). Methods: A retrospective study among patients who were operated for hemorrhoids between 2021-2022. Results: Adult patients with Grades II, III and IV were included. SH and ADL groups containing 60 patients were formed. Pain complaints (VAS) and normal daily activities (KATZ) of patients after surgery were examined. In this study, statistical analyzes were performed with NCSS (Number Cruncher Statistical System) 2007 Statistical Software (Utah, USA) package program. 50 of the patients were female and 70 were male. There was no difference between the age and gender distributions of the SH and ADL groups (p=0.231, p=0.711). On the 1st day VAS values in the SH group were found to be statistically significantly higher than the ADL group (p=0.003). When the daily activities of both groups were examined, the dressing (p=0.042) and toileting (p=0.012) activities in the SH group were lower. On the other hand, there was a statistically significant difference within the groups (SH; p= 0,0001, ADL; p=0,0001) related to the pain assessments. Conclusions: When both methods were examined, the success rate of two techniques was similar and ADL least affects the anatomy of the anorectal region without serious complication risk.