Title: Open Haemorrhoidectomy versus Closed Haemorrhoidectomy: A Comparative Study
Authors: Mukesh Kumar, K.K. Sinha
DOI: https://dx.doi.org/10.18535/jmscr/v5i5.75
Abstract
Back ground: Haemorrhoids are commonly encountered in routine colo rectal outpatient department. It is most common cause of rectal bleeding. Haemorrhoidectomy is an operation for third and fourth degree Haemorrhoids. This is the comparative study in between open and closed method Haemorrhoidectomy. The comparison has been done with post operative pain, bleeding, operative time, duration of stay, and wound healing in patients undergoing open and closed method Haemorrhoidectomy.
Method: 80 patients with third and fourth degree Haemorrhoids were randomly divided in two group A (open Haemorrhoidectomy) and group B (closed Haemorrhoidectomy).Data such as personnel data, type of anaesthesia, type of operation, post operative bleeding, analgesic requirement for post operative pain, operation time, hospital stay and wound healing were collected.
Results: Mean operating time was shorter in open method as compare to closed method. Analgesic requirement were less in the closed method. Healing time was shorter in closed method.
Conclusion: The closed method is associated with less pain during early post operative period and faster wound healing.
Keywords: Haemorrhoids, Open, Closed, Pain, Healing time.
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