Citation: Mohammad Shahriar Faisal, Rizwana Rahman Khan, Shahidul Islam. The Safety, Efficacy, Patient Satisfaction and the Outcome of the Stapled Hemorrhoidectomy in the Bangabandhu Sheikh Mujib Medical University, Bangladesh. SAS J Surg, 2022 Aug 8(8): 496-504. 496 SAS Journal of Surgery Abbreviated Key Title: SAS J Surg ISSN 2454-5104 Journal homepage: https://www.saspublishers.com The Safety, Efficacy, Patient Satisfaction and the Outcome of the Stapled Hemorrhoidectomy in the Bangabandhu Sheikh Mujib Medical University, Bangladesh Dr. Mohammad Shahriar Faisal 1* , Dr. Rizwana Rahman Khan 2 , Dr. Shahidul Islam 3 1 Assistant Professor, Department of Surgery, Mandy Dental College & Hospital, Dhaka, Bangladesh 2 Assistant Professor, Department of Pathology, Dhaka Medical College Hospital, Dhaka, Bangladesh 3 Consultant, Department of Colorectal Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh DOI: 10.36347/sasjs.2022.v08i08.002 | Received: 29.06.2022 | Accepted: 25.07.2022 | Published: 03.08.2022 *Corresponding author: Dr. Mohammad Shahriar Faisal Assistant Professor, Department of Surgery, Mandy Dental College & Hospital, Dhaka, Bangladesh Abstract Original Research Article Background: Hemorrhoid is a common disease in our country. But its conventional surgical treatment is associated with severe pain and open wound for a long time. Patients are very much frightened to undergo this kind of operation. A new method of hemorrhoid operation i.e. stapled Hemorrhoidectomy does not involve excision of the hemorrhoid and is thereby expected to have less pain and no open wound. Aim of the study: The aim of the study is to investigate the safety, efficacy, patient satisfaction, and outcome of the stapled hemorrhoidectomy operation in the Bangabandhu Sheikh Mujib Medical University, Bangladesh, and different private hospitals in Dhaka city. Methods: 50 patients were selected randomly who were admitted to Bangabandhu Sheikh Mujib Medical University, Bangladesh, and different private hospitals in Dhaka city. They were evaluated by short history, clinical examination, and appropriate investigations. With adequate preoperative preparation, they underwent Stapled Hemorrhoidectomy. They were followed up postoperatively and for 2 months after the operation. Results: 38 patients left the hospital within 36 hours of operation, 6 patients stayed for 4 days, 4 patients for 6 days, and only 2 patients stayed for more than 5 days. 1 patient had 2 nd -degree hemorrhoid, 44 had 3rd hemorrhoid and 5 had 4 th -degree hemorrhoid the average operating time was 25.30 minutes. The highest time required was 45 minutes and the slowest time was 20 minutes. Initial postoperative pain was common but it didn’t continue for more than 24 hours, only 3 patients complained of occasional pain after discharge. 48 patients had complete relief of symptoms and 2 had a small residual lump. The urgency of defecation was complained about by 5, which subsided with time. No other serious complications like infection or sphincter damage were seen. 49 patients had full satisfaction during follow-up. Conclusion: Stapled Hemorrhoidectomy is associated with significantly less pain immediate postoperative period and also restored surgical anatomy to normal. It has few complications and patients' compliance is high. Keywords: Hemorrhoid, Hemorrhoidectomy, Stapled Hemorrhoidectomy. Copyright © 2022 The Author(s): This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY-NC 4.0) which permits unrestricted use, distribution, and reproduction in any medium for non-commercial use provided the original author and source are credited. INTRODUCTION Hemorrhoids have been described since the beginning of medical history. The first known documentation is from around 2250 BC in the Code of King Hammurabi in Babylon where symptoms of hemorrhoids are described. The first topical treatment is described in an Egyptian papyrus in 1700 BC and the first surgical excision is described by Hippocrates in the Hippocratic treatises in 460 BC [1]. The word hemorrhoid is derived from ancient Greek (haima = blood and rrhein = flowing). It is said that the French emperor, Napoleon Bonaparte suffered from hemorrhoids. At the battle of Waterloo Napoleon had difficulties riding his horse and spent most of the time in bed. When he walked around it was noted that he walked with difficulties with the legs spread apart. Historians mean that this ―crise hemorroidaire‖ impaired his battlefield conduct and made him lose the battle [2]. Hemorrhoids are dilated veins occurring in relation to the anal canal also known as piles. Hemorrhoids are a common disease in the western world and Asian populations. The incidence is estimated at 8%, and the prevalence at 10%. The male: female ratio is 1:4 [3]. They affect people of any age and gender, and most commonly occur between the ages of 45 and 65 years. It is estimated that at least 50% of individuals over 50 years of age have at some time experienced symptoms related to Hemorrhods [4]. Hemorrhoids develop from engorgement and prolapse Surgery