Prospective Randomized Comparative Study of DGHAL And TRANSANAL Suture Rectopexy In Symptomatic Hemorrhoids

Introduction: Hemorrhoidal disease is one of the most common anorectal disorders worldwide, affecting up to 50% of adults by the age of 50. It results from the pathological enlargement and distal displacement of the anal cushions, coupled with vascular hyperplasia, increased arterial inflow, and impaired venous drainage. Aims: To compare the efficacy and safety of Doppler-guided hemorrhoidal artery ligation (DGHAL) versus transanal suture rectopexy in patients with symptomatic hemorrhoids, evaluating postoperative outcomes and complications. Materials & Methods: The study was a prospective randomized comparative study conducted at KPC Medical College & Hospital, Kolkata, from 1st February 2023 to 31st January 2024, including a total of 194 patients with symptomatic hemorrhoids. Result: In our study 30 day postoperative events were comparable between the two groups with no statistically significant differences observed. Readmission within 30 days occurred in 4 patients (4.1%) following DGHAL and in 10 patients (10.3%) in the transanal suture rectopexy group (p = 0.165). Surgical reintervention was required in 3 patients (3.1%) in the DGHAL group compared with 9 patients (9.3%) in the transanal group (p = 0.136). Conclusion: We concluded that both dghal and transanal suture rectopexy were successful in reducing symptoms in this prospective randomized comparative trial of 194 patients with bothersome hemorrhoids. Transanal suture rectopexy, on the other hand, was linked to longer operating times, greater intraoperative blood loss, and slower early postoperative recovery, including more pain and delayed bowel movements.