Haemorrhoidectomy

Haemorrhoids are among the commonest surgical problems of anorectal region. Chronic constipation, straining, at defecation or micturation is the main predisposing factors but exact aetiopathogenesis remain unclear. Most patients in the initial stages are treated with conservative or minimally invasive approaches. However, haemorrhoidectomy has proven long-term efficacy in the treatment of third degree haemorrhoids. There is still controversy whether open or closed haemorrhoidectomy is the treatment of choice. Haemorrhoidectomy whether open or closed is associated with postoperative complications. This study was carried out to compare postoperative complications of both procedures to improve the management of haemorrhoids. Objectives: To compare postoperative complications in open and closed haemorrho-dectomy. Study Design: Quasi- experimental. Settings: Surgical unit-1, Allied Hospital Faisalabad. Duration: One year (20/06/o6 to 20/06/07). Sample size: 100 cases (50 cases in each). Sampling technique: Convenience sampling. Inclusion criteria: Patients with 3rd degree haemorrhoids. Exclusion criteria: Complicated third degree haemorrhoids. Patients with other causes of bleeding per rectum. Patients having associated medical problems. Patients not willing for surgery. Results: Out of 100 patients 7 had severe postoperative pain,  5 from open and 2 from close group.50 patients had moderate pain, 30 from open and 20 from closed group.8 patients, 5 from open and 3 from closed group got urinary retention. 2 patients both from open group had anal stricture. Conclusion: Closed haemorrhoidectomy is more advantageous with respect to less postoperative pain.