A study of comparision between open and closed hemorrhoidectomy

Kadhirvel, S (2018) A study of comparision between open and closed hemorrhoidectomy. Masters thesis, Kilpauk Medical College, Chennai.


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AIM OF THE STUDY: The Aim of this study is to compare these techniques with respect to operating time, post operative complication such as pain, soiling, healing, hospitals stay, duration of inability to work, healing time, and other late complications of surgery. METHODOLOGY: A prospective randomized study, in which 54 patients with second and Third Degree Hemorrhoids were selected. Group I having 27 patients were treated with open Haemorrhoidectomy and Group II having 27 patients were treated with closed Haemorrhoidectomy. Open Haemorrhoidectomy was performed according to Milligan Morgan operation. Closed Haemorrhoidectomy was done according to Ferguson technique. Type of analysis: Clinical data analysis. Data collection: The data of each patient was collected in a specially designed proforma which is enclosed. SUMMARY AND CONCLUSION: The following are the findings in our study of 54 patients with haemorrhoids treated at Kilpauk Medical College Hospital, Chennai during the period 2016-2017. 1. Post operative pain was significantly lower in closed method when compared to open method. 2. Pain and soiling are lower in closed method compared to open method after 3to 6 weeks follow up. 3. Wound healing was better in closed method compared to open method after 3 to 6 weeks follow up. 4. After 3 months follow up, closed method shows better outcome compared to the open method. 5. The operating time was slightly lower in open haemorrhoidectomy than in closed haemorrhoidectomy. 6. The peak age incidence is in between 40-50 years. There is male preponderance. 7. Most of our patients had bleeding and prolapse as presenting features. 8. Familial preponderance in our study is only 2%. By analyzing the various data available, these two methods will be compared for their complications and further management.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Haemorrhoids ; open, closed ; pain ; healing.
Subjects: MEDICAL > General Surgery
Depositing User: Subramani R
Date Deposited: 06 Aug 2018 01:39
Last Modified: 06 Aug 2018 01:39
URI: http://repository-tnmgrmu.ac.in/id/eprint/9103

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