Lord's procedure prior to stapled haemorrhoidopexy, reduces post operative complications

Abstract

Background: Acute pain, rectal bleeding and painful defaecation are the common complications of Stapled haemorrhoidopexy. Doing Lord’s procedure before stapled haemorrhoidopexy, reduces the risks of complications Material and Methods: A description of operation technique and demographics of patients are presented.Results: 245 patients of Grade III and Grade IV haemorrhoids were operated (January 2009 and December 2019) by stapled haemorrhoidopexy. Lord’s procedure of Manual Anal Dilatation was done in all patients before stapled haemorrhoidopexy. Our series showed complication rate less than 1% as compared to global rate of almost 4-5%.Conclusion: Stapled haemorrhoidopexy like any other surgical procedure is also associated with some post-operative complications. Pain, bleeding and discomfort at defaecation are most common. They occur in about 5% cases. Our study reveals that these complications can be reduced further if Lord’s procedure of Manual Anal Dilatation is done just prior to stapled haemorrhoidopexy.