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- Title
Open vs. Closed Hemorrhoidectomy in Patients Admitted in Imam Khomeini Hospital, Sari, 2008-9.
- Authors
Rahmani, Nasrin; Sayadi, Sohrab; Tohamtan, Reza Ali Mohammadpur; Ali, Abdolali Mosavar; Tayebi, Pouya
- Abstract
Background and purpose: The aim of this study was to compare two hemorrhoidectomy techniques, that is, closed and open regarding postoperative signs, symptoms, and complications, and long-term results. Materials and methods: This was a randomized clinical trial conducted on 100 patients with third- or fourth-degree hemorrhoids suitable for hemorrhoidectomy. Group B contained 50 patients undergoing closed and 50 patients in group A underwent open hemorrhoidectomy. Patient information including type and length of operation, postoperative complications, and length of hospital stay were recorded. Follow-up was done at 6 hours, 24 hours, 14 days and 28 days after the operation and postoperative pain was compared in both groups. Results: Findings indicated that mean hospital stay was 2.1± 0.82 days in group A, while the figure was 1.2 ± 0.4 days in group B. Thus, there was statistically a significant difference between the two methods in this regard (P<0.05). However, no significant differences were found regarding pain, need for analgesic drug, operation length and wound healing duration. There were no cases of incontinence, stricture and need for surgery and rehospitalization in both groups. The difference between postoperative complications were not statistically significant (P>0.05). Conclusion: Both methods are fairly efficient treatments for hemorrhoids, with similar effects and without any serious drawbacks. Nonetheless, the closed method has one advantage over open alternative and that is the shorter postoperative stay for the patients.
- Subjects
IRAN; TREATMENT of hemorrhoids; OPERATIVE surgery; COMPARATIVE studies; POSTOPERATIVE care; RANDOMIZED controlled trials; HOSPITAL patients
- Publication
Journal of Mazandaran University of Medical Sciences (JMUMS), 2012, Vol 22, Issue 86, p62
- ISSN
1735-9260
- Publication type
Article