Year: 2025 | Month: October-December | Volume: 10 | Issue: 4 | Pages: 165-169
DOI: https://doi.org/10.52403/ijshr.20250424
Haemorrhoid Placation Efficacy Without Anal Packing
Kamal Kumar1, Vivek Labana1, Nidhi Jaiswal2, Shahid Hussain1
1Department of General Surgery, 2Multidisciplinary Research Unit,
Government Medical College, Kota, Rajasthan, India.
Corresponding Author: Dr. Shahid Hussain
ABSTRACT
Background: Routine anal packing after hemorrhoid surgery is a major cause of postoperative pain and urinary retention. Aim: To evaluate safety and efficacy of hemorrhoid plication performed without any intra-anal packing.
Methods: Fifty consecutive patients with grade II–IV internal hemorrhoids underwent plication using Vicryl 2-0 sutures under saddle anesthesia (January–December 2024). No intra-anal packing was used. Outcomes assessed were postoperative pain, bleeding, urinary retention, hospital stay, complications, and patient satisfaction over 6 months.
Results: Mean age 41.6 ± 14.2 years; M: F = 36:14. Bleeding per rectum was universal (100%). Severe postoperative pain requiring regular analgesics: 0%. Early hemorrhage: 6%, delayed hemorrhage: 12% (all managed conservatively). Urinary retention: 4%. Hospital stay <48 h in 90%. No anal stenosis or recurrence at 6 months. High satisfaction: 78%.
Conclusion: Hemorrhoid plication without anal packing is safe, virtually painless, and associated with minimal complications and early discharge.
Keywords: Hemorrhoids, Plication, Mucopexy, Anal packing, Postoperative pain, Urinary retention.