Hemorrhoidectomy: Open or Closed Technique?

Abstract

Although the healing time is longer, the open technique is more advantageous with respect to shorter operating time, less discomfort in the early postoperative period, and lower morbidity rate.

Comparison of Clinical Effects Between Warm Water Spray and Sitz Bath in Post-hemorrhoidectomy Period

“…[3][4][5] While these various approaches involve different techniques and instruments, there is no evidence for significant differences in the results obtained between closed and open hemorrhoidectomies. 6,7 In any surgical management of hemorrhoids, postoperative pain is the most common complaint. 8 In particular, internal sphincter spasm is usually associated with pain.…”

A Randomised Comparative Study between Open and Closed Haemorrhoidectomy

“…Hospital stay in our study in group A was 2.10±0.40 days whereas hospital stay in group B was 1.94±1.16 p value 0.78 (not significant). Hosh et al (19) showed that hospital stay was more in open haemorrhoidectomy while Gencosmanoglu et al (20) showed opposite results.…”

An evaluation of Milligan-Morgan and Ferguson procedures for haemorrhoidectomy at Liaquat University Hospital Jamshoro, Hyderabad, Pakistan

“…1 It can be performed by the open or closed method. 2 , 3 In Europe, the Milligan-Morgan method is more commonly in use, while in the United States the closed haemorrhoidectomy method, as illustrated by Ferguson and Heaton, is a common and traditional method. 2 - 4 Closed haemorrhoidectomy is supposed to be less painful method and results in rapid wound healing.…”

“…2 , 3 In Europe, the Milligan-Morgan method is more commonly in use, while in the United States the closed haemorrhoidectomy method, as illustrated by Ferguson and Heaton, is a common and traditional method. 2 - 4 Closed haemorrhoidectomy is supposed to be less painful method and results in rapid wound healing. 2 , 5 However, a disagreement is still there concerning these two techniques of management with regards to postoperative pain and complications.…”

“…2 - 4 Closed haemorrhoidectomy is supposed to be less painful method and results in rapid wound healing. 2 , 5 However, a disagreement is still there concerning these two techniques of management with regards to postoperative pain and complications. 4 , 6 - 8 …”