23. Experience of Open Hemorrhoidectomy without Antibiotic Prophylaxis at Pumhs Nawabshah
Gulshan Ali Memon, Habib Ur Rahman Khan Toor and Kashif Ali
ABSTRACT
Objectives: To determine the effect of not using the prophylactic antibiotics in open Milligan & Morgan Hemorrhoidectomy at PUMHS Nawabshah
Study Design: Observational / descriptive study.
Place and Duration of Study: This study was at PUMHS (Peoples University of Medical and Health Sciences Nawabshah) in Surgical Unit 1 from July 2014 to July 2016.
Materials and Methods: 200 cases with 3rd and 4th degree hemorrhoids were selected for this study. Patients having other associated an rectal diseases and systemic co-morbid problems were not selected. Data was recorded for demography. Selected cases were underwent open Milligan & Morgan Hemorrhoidectomy under spinal anesthesia. Post-operative complications like pain, bleeding, acute retention of urine, constipation, anal incontinence and infection was recorded during hospital stay and on weekly follow up upto six week. Data was analyzed by using SPSS-24.
Results: Among 200 cases 120 were male and 80 are male. Male to Female ratio was 3:2. Mean age was 41years SD+-11.4 and a range of (18-80). Mean operating time was 30 minutes. Postoperatively 10% had mild pain,3% had moderate pain and 1% had sever pain in first 24 to 48 hours. Acute retention of urine was experienced by 8% of the case post-operatively. Mild bleeding in the form of spotting was found in 13% of the cases while 1% had moderate bleeding that required re-packing. 6% of the cases developed temporary constipation. None of the cases developed incontinence. Post-operatively there was no any local(surgery site infection) or systemic infection was observed in all cases.
Conclusion: Surgical site infection remains as a nightmare for most of the surgeons and an injudicious use of prophylactic antibiotics is being practiced in this part of world. This study strongly advocates that open Hemorrhoidectomy can safely performed without any antibiotic prophylaxis.
Key Words: hemorrhoids, open Hemorrhoidectomy, antibiotic prophylaxis
Citation of article: Memon GA, Toor HRK, Ali K. Experience of Open Hemorrhoidectomy Without Antibiotic Prophylaxis at Pumhs Nawabshah. Med Forum 2017;28(4):87-90.