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  3. 7. Comparison of Postoperative Outcomes of Open Versus Closed Hemorroidectomy at Tertiary Care Hospital
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7. Comparison of Postoperative Outcomes of Open Versus Closed Hemorroidectomy at Tertiary Care Hospital

Abdul Hakeem Jamali, Mashooq Ali  Khowaja, Inayat Ali Zardari, Zulfqar Ali Imtiaz Memon, Altaf Hussain Ghumro and Imtiaz Ali Soomro

ABSTRACT

Objective: To compare the postoperative results of open  versus closed hemorrhoidectomy.

Study Design: Comparative study.

Place and Duration of Study: This study was conducted at the Surgical Department PMCH Nawabshah. From December 2017 to December 2018.

Materials and Methods: All the patients were admitted through surgical OPD. Digital rectal examination along with proctoscopy was done to rule out other surgical ano-rectal pathologies. All the required investigations were done and open and closed hemorroidectomy were performed.

Results: This study was conducted on 120 patients. They were divided into two groups. Group 1 included 60(50%) patients and Group 2 included 60 (50%). Group A underwent only open hemorroidectomy and Group B underwent closed Hemorrhoidectomy.  Postoperative complications were recorded and results were compiled on this basis. In Group 1 only 25 (41.66%) patients complained of postoperative defecation pain. Only 13(21.66%) complained of postoperative bleeding in 10 (16.6%).  In Group 2 18(30%) complained of pain during defecation after surgery and 12(20%) developed early postoperative bleeding.

Conclusion: It is concluded that the closed hemorrhoidectomy is the better option due least pain and bleeding postoperatively as compared to open method.

Key Words: Closed Hemorrhoidectomy, Open Hemorrhoidectomy, Postoperative Pain, and Postoperative Bleeding.

Citation of articles: Jamali AH, Khowaja MA, Zardari IA, Memon ZAI, Ghumro AH, Soomro IA. Comparison of Postoperative Outcomes of Open Versus Closed Hemorroidectomy at Tertiary Care Hospital. Med Forum 2019;30(6):28-30.