Stapled Haemorrhoidectomy: A 10-year Experience at a Tertiary Centre in Benin City

Abstract

Background: The surgical treatment of haemorrhoids has evolved over time with the introduction of stapled haemorrhoidectomy being a major breakthrough. Stapled haemorrhoidectomy is gaining acceptance as a veritable alternative to conventional excision haemorrhoidectomy. We present a review of all patients who had stapled haemorrhoidectomy in our facility over a decade.

Methods: The records of all patients who had stapled haemorrhoidectomy at the University of Benin Teaching Hospital between January 1st, 2016 and December 31st, 2025 were retrieved and analyzed.

Results: Of the 6 cases of stapled haemorrhoidectomy done, 4 (66.7%) were males. The mean age was 53.3 years with a range of 13 to 71 years. Anal protrusion was reported in all patients. The duration of symptoms ranged from 7 to 20 years. Rectal bleeding occurred in 4 patients (66.7%) and grades III and IV disease occurred in equal proportions (50%) respectively. Five patients (83.3%) had stapled haemorrhoidectomy under subarachnoid block while one patient had combined spinal and epidural anaesthesia. Post-operative perianal pruritus and anal spasm occurred in one patient each, which resolved on non-operative management.

Conclusion: Stapled haemorrhoidectomy is a safe and effective alternative to the conventional excision haemorrhoidectomy in the treatment of grades III and IV haemorrhoids.