To Evaluate Surgical Outcome of the Sutureless Hemorrhidectomy by Legasure at Tertiay Care Hospital.

Abstract

Introduction:-hemorrhoidectomy by Legasure is seemed to be effective and result oriented modality with better surgical outcomes as compared to other procedure of this disease. It is less painful, day care, easily performed, sutureless and above all it is the most liked procedure nowadays by the surgeons. Objective:- To detect the effectiveness and evaluate outcomes of this procedure Patients and methods:-This study is conducted at department of surgery surgical unit 3 at PMCH Nawabshah. This is a cross sectional study done from July 2018 to June 2019. All the patients were admitted from surgical OPD. Total 48 patients were included. All the patients included had grade 3 and 4 hemorrhoids. Exclusion criterion was the patients suffering from lover cirrhosis, HIV positive, uncontrolled diabetes and bleeding disorders. Results :- Total 48 patients were included in this study. 30 (62.59a) patients were male and 18 (37.59o0 patients were females. Postoperative complications were noted specifically. Postoperative pain was recorded only in 3(6.259c) patients. Bleeding was found to be in 4(8.33%) patients only. 2(4.169c) patients developed urinary retention. 1(2.08%) patient has breakdown of tissue seal with raw area that healed secondarily. Conclusion:- It is concluded that legasure is the best procedure of all as it is suture less, simple, safe, effective and day care procedure.