World Journal of
Pharmaceutical and Life Sciences

COMPARISON BETWEEN CLOSE AND OPEN HAEMORRHOIDECTOMY TECHNIQUES FOR THEIR OUTCOMES

Fateen Ahmad, *Dr. Fatima Tuzahra and Sadia Najeeb

ABSTRACT

Objective: To compare the surgical outcomes in cases managed by closed vs open haemorrhoidectomy techniques. Methodology; This randomized control trial done at Department of Surgery, Lahore General Hospital. Lahore during April 2017 to September 2017. The cases of age more than 18 years irrespective of their gender having haemorrhoids with grade III & IV lasting for at least 1-month duration were included. Then all these cases were divided into two groups and the cases in Group A were treated with closed and those in group B with open technique. These cases were then followed for different surgical outcomes. Results; In this study, 50 cases were selected in each group. The mean ages in group A and B were 48.71±12.89 years 45.56±11.45 vs 48.34±11.79 (p= 0.87) and mean duration of haemorrhoids was 5.57±1.45 vs 4.78±1.03 months. Post surgical outcome comparison in both group revealed wound infection in 2 (4%) vs 18 (36%), post operative bleeding in 4 (8%) vs 11 (22%) and pain in 18 (36%) vs 7 (14%) with p values of 0.0001, 0.01 and 0.01 respectively. Conclusion; Open haemorrhoidectomy is significantly better than closed technique regarding post operative bleeding and pain while latter is significantly better in terms of wound infection.

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