Masood Ahmed, Rafiq Ahmed Saheto, Muhammad Hashim Langah.
Comparison of pain and bleeding after open and closed haemorrhoidectomy.
J Surg Pak Jan ;17(2):61-4.

Objective: To compare closed and open haemorrhoidectomy by terms of post-operative pain and bleeding. Study design: Comparative study. Place & Duration of study: Department of Surgery Peoples University of Medical & Health Sciences, Nawabshah from May 2011 to October 2011. Methodology: All the patents with established diagnosis of haemorrhoids were divided equally into two groups. The group I was treated with open haemorrhoidectomy while closed haemorrhoidectomy was done in group II. Post-operative pain and bleeding scores were recorded for 3-days in immediate post-operative period and at first and 2nd week followups. Pain scores 0-3 (0=none,1=mild, 2=moderate, 3=severe) and bleeding scores 0-2 (0=none, 1=slight, 2=severe) were documented for each patient. Results: Total of 60 patients were recruited. Thirt underwent open and same number had closed haemorrhoidectomy. There were 45 (75%) males and 15 (25%) females. The mean age was 45 year with a male to female ratio of 3:1. Mean pain score for the open haemorrhoidectomy was 1.73 + 0.09 (p< 0.0001), while for closed haemorrhoidectomy 0.96 + 0.64 (p< 0.0001). The mean bleeding score in open group was 1.03 + 0.427 (range 0.6 - 1.8) and in closed group 0.52 + 0.388 (range 0.2 - 1.6). Conclusion: Closed haemorhoidectomy was associated with significantly less pain and bleeding than open haemorrhoidecctomy.

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