A comparative study of open versus closed haemorrhoidectomy in second and third degree haemorrhoids
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 2, Pages 2545-2552
AbstractHaemorrhoids are one of the most frequently encountered anorectal conditions in the clinical practice of a surgeon. Haemorrhoidectomy is the most effective approach for haemorrhoidal disease especially for grade III and grade IV disease and also in grade II disease which do not respond to conservative and non-invasive treatment. However, postoperative pain is a major concern, and the surgery itself is with complications including notably bleeding, wound sepsis, pain, and anal stenosis. The patients were explained about their disease and modalities of treatment as Open or closed haemorrhoidectomy with advantages and disadvantages of each. 25 patients were operated by open haemorrhoidectomy and another 25 patients by closed haemorrhoidectomy under spinal anaesthesia. Data was collected according to proforma which included detailed history, clinical examination and investigation. Data was tabulated, analyzed and results interpreted. The mean immediate post-operative pain score in open group was 2.88 ± 0.53 VAS and in closed group was 2.44 ± 1.9 VAS; these differences were significant with p value of 0.027. The mean duration hospital stay in open group was 4.64± 0.9 days and in closed group was 4.28 ± 0.9 days (p value= 0.18) the differences were not significant. People who underwent open procedure took 17.5 days and closed group patient took 16. 4 days to resume their normal activity, these differences were not significant (p Value = 0.42).
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