East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
Vol. 21, No. 1, 2016, pp. 50-57
Bioline Code: js16006
Full paper language: English
Document type: Research Article
Document available free of charge
East and Central African Journal of Surgery, Vol. 21, No. 1, 2016, pp. 50-57
© Copyright 2016 - Journal of Applied Sciences and Environmental Management
Post-operative Complications of stapled versus Ferguson Hemorrhoidectomy at Mulago Hospital. A Randomized Comparative Study.|
Yiga, J.; Wesonga, A; Kirunda, S; Elobu, E; Kabuye, R; Ongom (RIP), P & Makobore, P
Background: Hemorrhoids are a common anorectal condition. New surgical
treatments have led to a reappraisal of hemorrhoid disease over the last few
decades and despite a range of treatment modalities, the options are limited in
their effectiveness and can lead to a number of complications. This study set out to
compare post operative complications between stapled haemorrhoidopexy (SH) and
Ferguson haemorrhoidectomy (FH) for patients with Grade III and IV in Mulago
National Referral and teaching Hospital.
Methods: Following ethical approval 48 consenting participants with Grade III/IV
hemorrhoids were randomized to either FH or SH under regional anesthesia on 1:1
allocation. Early and short term post-operative complications were analyzed. .
Results: We enrolled 24 participants in each arm with equal sex allocation and
mean age of 39 years with 100% follow up. There was largely no difference in early
and short term complications between FH and SH save for bleeding in the short
term follow up which occurred more frequently in the FH group (p-value 0.045). The
bleeding was mild and did not require transfusion.
Conclusion: There was no major difference in short term complication rates
between SH and FH. SH is a safe alternative to FH in Mulago Hospital.
Ferguson hemorrhoidectomy; Stapled hemorrhoidopexy; Hemorrhoids.PPH; Mulago Hospital; colorectal surgery