Strengths and limitations of Close vs Open Haemorrhoidectomy in Patients of 2nd and 3rd Degree Hemorrhoids

Ahmed, Ahsan Nazir; Fatima, Noor; Hussain, Ramzan; Chaudry, Z A; Qadir, Syed Nurul Rasool

doi:10.21649/akemu.v9i3.1344

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This method is stated to be better regarding healing time and other postoperativelv complications like bleeding and post-operative wound infections. [7][8][9] The purpose of this study was to compare the postoperative pain, wound healing and morbidity in correlation of two techniques.…”

Section: Introductionmentioning

confidence: 99%

A comparative study of open and closed hemorrhoidectomy

2018

View full text Add to dashboard Cite

Background: Hemorrhoidectomy is the treatment of choice for patients with third-degree or fourth-degree haemorrhoids. This prospective randomized clinical study compared the outcome of surgical haemorrhoidectomy by open and closed techniques in terms of postoperative pain, wound healing, and morbidity.Methods: All consecutive patients with Grade III internal haemorrhoids or Grade IV haemorrhoids were randomly allocated to one of two groups. The entire wound was left open in the open group and completely closed using 2-0 chromic sutures in the closed group. Postoperative pain was assessed by a linear analog scale. Additional consumption of analgesics on the day of surgery and at defecation during the first week was recorded. Patients were followed up 1, 2, and 3 weeks after the procedure.Results: There were 30 patients in each group. No statistically significant differences were found between the two methods regarding complications, pain, or postoperative stay. There were four reoperations for bleeding, all after Milligan-Morgan operations. At follow-up after three weeks 78 percent of the Ferguson patients had completely healed wounds, and none had signs of infection. Of the Milligan-Morgan patients, only 26 percent had completely healed wounds, and symptoms of delayed wound healing were significantly more frequent.Conclusions: Both methods are fairly efficient treatment for third and fourth degree hemorrhoids, without serious drawbacks. The closed method has no advantage in postoperative pain reduction but is more advantageous with respect to faster wound healing.

show abstract

Section: Introductionmentioning

confidence: 99%

A comparative study of open and closed hemorrhoidectomy

2018

View full text Add to dashboard Cite

show abstract

“…Closed haemorrhoidectomy is the one in which excision of the haemorrhoids is followed by primary suturing of the mucosal and skin edges with absorbable suture material like catgut. This method is stated to be better regarding healing time and other postoperative complications like bleeding and post-operative wound infections [7,8,9]. Open haemorrhoidectomy is traditional treatment of haemorrhoids and is widely practiced in most of the hospitals.…”

Section: Introductionmentioning

confidence: 99%

Open Versus Closed Hemorrhoidectomy: Surgical Outcome

S¹,

.B.R²,

Kumar³

et al. 2014

IOSRJDMS

View full text Add to dashboard Cite

This is a comparative study between Open and Closed Hemorrhoidectomy. The comparison has been done with postoperative pain, bleeding, operating time, duration of stay and wound healing in patients undergoing open and Closed Hemorrhoidectomy. Ten patients (7 males & 3 females), admitted between Jan 2013 to Dec 2013 diagnosed as external haemorrhoids who underwent open/closed haemorrhoidectomy under spinal anesthesia at Shivamogga Institute of Medical Sciences(SIMS), were selected. Median age of patients admitted for open haemorrhoidectomy was 42.6 years and 43.1 years is median age in patients posted for closed hemmoroidectomy. Out of 10 cases 6 were assigned for open haemorrhoidectomy and 4 were assigned to closed haemorrhoidectomy. Mean operating time in open hemmoroidectomy was 45 mins and in closed hemmoroidectomy 60 min. Early postoperative mild bleeding was noted in two patients in open haemorrhoidectomy as compared to one patients in the closed group. The pain scores were significantly low in the open group compared to closed haemorrhoidectomy procedure. Hence better outcome in terms of less post-operative bleeding and complete wound healing is provided by closed haemorrhoidectomy , but it is associated with more pain and requires longer operative time as compared to open haemorrhoidectomy.

show abstract

Strengths and limitations of Close vs Open Haemorrhoidectomy in Patients of 2nd and 3rd Degree Hemorrhoids

Cited by 2 publications

References 0 publications

A comparative study of open and closed hemorrhoidectomy

A comparative study of open and closed hemorrhoidectomy

Open Versus Closed Hemorrhoidectomy: Surgical Outcome

Contact Info

Product

Resources

About