ABSTRACT

Purpose: Grades III and IV haemorrhoids have been preferentially treated with surgery for years. The decision to pursue surgical therapy for haemorrhoids is based on the severity of symptoms and the traditional classification of haemorrhoid prolapse. In this study, an alternative technique known as hand-sewn haemorrhoidopexy (HHP) was conducted using a modified anoscope.

Methods: A total of 51 patients requiring surgical treatment for grades III and IV prolapsing haemorrhoids were treated by HHP. Hospital stay duration, costs, time of work-off, operative time, wound healing-time, complications and outcomes were recorded after the operation.

Results: Shorter wound healing-time and lower complication rates were observed after the patients were subjected to HHP. These patients also exhibited better tolerance for the operation and incurred significantly lower costs than patients who were treated with other therapies.

Conclusions: Hand-sewn haemorrhoidopexy using is a safe, effective and painless surgical procedure to treat patients with grades III and IV or mixed haemorrhoids.