Muhbat Ali, Shua Nasir, Sadaf Nazir, Lal Shehbaz, Muhammad Saad, Muhammad Absar Anwar, Ahmed Ali.
Postoperative complications of haemorrhoidectomy, a comparative analysis of open versus closed operating technique.
Pak J Surg Jan ;32(1):26-8.

Object: Th e objective of our study is to compare and contrast the various early and late onset complications of open and closed haemorrhoidectomy procedure. Material and methods:Th is is a randomized control trial, done for a period of 2 years from February 2013 to February 2015, at a tertiary care hospital in Karachi, Pakistan. Th ere were 360 patients who presented to the hospital either via out patient clinics or through the accidents and emergency department with third and fourth degree hemorrhoids, and required a haemorrhoidectomy procedure. Th e patient population was divided into two groups, group A consisted of patients who would undergo the open or Milligan Morgan method of haemorrhoidectomy, and group B consisted of patients who would undergo the closed or Ferguson method of haemorrhoidectomy. Th e patients were seen and observed for a period of two months post operatively, and various complications of the procedures were noted and analyzed in the two groups. Results: Th e age range of patients in group A was from 20 – 70 years of age, with a mean age of 42 years (SD +/- 12.45 ), the age range in group B was from 21 -69 years with a mean age of 40 years (SD +/- 11.23), the male to female ratio was 2:1.6. Th e urinary retention as observed on the day of operation was in 13 (7.22%) patients in group A, and in 5 (2.77%) patients in group B. Th e incidence of hemorrhage was seen in 8 ( 4.44% ) patients in group A, and in 4 (2.22%) patients in group B. Infection of the wound was seen in 14 (7.77%) patients in the Milligan Morgan technique group and 13 (7.22%) in the Ferguson technique group. 1 (0.55%) patient in group A had anal stenosis. Conclusion: According to our study, there is no statistically signifi cant diff erence when it comes to the post operative complications of haemorrhoidectomy procedure ( both open and closed technique ).

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