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Open versus closed haemorrhoidectomy.
Niger Postgrad Med J. 2004 Jun; 11(2):79-83.NP

Abstract

OBJECTIVE

To compare post operative complications, rates of wound healing, and cost effectiveness between the closed and open methods of haemorrhoidectomy.

DESIGN

Prospective.

SETTING

Jos University Teaching Hospital (JUTH), Jos and Evangel Hospital, Jos.

PATIENTS AND METHODS

Consecutive patients who presented with second and third degree haemorrhoids were randomised into an open group A and a closed group B. Time taken for wound to heal, the postoperative complications and cost of management in each group were assessed. Each patient was followed up for at least three months.

RESULTS

There were 59 males and 20 females, distributed between group A (n=39) and B (n=40). The average postoperative hospital stay was 5 days in group A and 3 days in group A. There were no differences in the complication rate between the two groups. Post operative retention of urine was the commonest complication and occurred in 12 patients: 7 in group A and 5 group B. This was followed by reactionary haemorrhage in 6. All of which occurred in group A. There were 8 patients with skin tags: 5 in group A and 3 in group B. Other complications included secondary haemorrhage (2), wound dehiscence (4) and wound infection (2), all in group B. The average wound healing time was significantly shorter in group B (2.8 vs 5.0 weeks). The financial difference between the two treatment groups was not statistically significant (N4,593.00 and N4,598.00, or 34.02 dollars and 34.06 dollars in groups A and B, respectively).

CONCLUSION

The cost per patient and morbidity did not show any statistically significant differences between the open and closed methods of haemorrhoidectomy. However, healing was significantly faster in group B.

Authors+Show Affiliations

Department of Surgery, Jos University Teaching Hospital.No affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

15300265

Citation

Uba, A F., et al. "Open Versus Closed Haemorrhoidectomy." The Nigerian Postgraduate Medical Journal, vol. 11, no. 2, 2004, pp. 79-83.
Uba AF, Obekpa PO, Ardill W. Open versus closed haemorrhoidectomy. Niger Postgrad Med J. 2004;11(2):79-83.
Uba, A. F., Obekpa, P. O., & Ardill, W. (2004). Open versus closed haemorrhoidectomy. The Nigerian Postgraduate Medical Journal, 11(2), 79-83.
Uba AF, Obekpa PO, Ardill W. Open Versus Closed Haemorrhoidectomy. Niger Postgrad Med J. 2004;11(2):79-83. PubMed PMID: 15300265.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Open versus closed haemorrhoidectomy. AU - Uba,A F, AU - Obekpa,P O, AU - Ardill,W, PY - 2004/8/10/pubmed PY - 2004/12/24/medline PY - 2004/8/10/entrez SP - 79 EP - 83 JF - The Nigerian postgraduate medical journal JO - Niger Postgrad Med J VL - 11 IS - 2 N2 - OBJECTIVE: To compare post operative complications, rates of wound healing, and cost effectiveness between the closed and open methods of haemorrhoidectomy. DESIGN: Prospective. SETTING: Jos University Teaching Hospital (JUTH), Jos and Evangel Hospital, Jos. PATIENTS AND METHODS: Consecutive patients who presented with second and third degree haemorrhoids were randomised into an open group A and a closed group B. Time taken for wound to heal, the postoperative complications and cost of management in each group were assessed. Each patient was followed up for at least three months. RESULTS: There were 59 males and 20 females, distributed between group A (n=39) and B (n=40). The average postoperative hospital stay was 5 days in group A and 3 days in group A. There were no differences in the complication rate between the two groups. Post operative retention of urine was the commonest complication and occurred in 12 patients: 7 in group A and 5 group B. This was followed by reactionary haemorrhage in 6. All of which occurred in group A. There were 8 patients with skin tags: 5 in group A and 3 in group B. Other complications included secondary haemorrhage (2), wound dehiscence (4) and wound infection (2), all in group B. The average wound healing time was significantly shorter in group B (2.8 vs 5.0 weeks). The financial difference between the two treatment groups was not statistically significant (N4,593.00 and N4,598.00, or 34.02 dollars and 34.06 dollars in groups A and B, respectively). CONCLUSION: The cost per patient and morbidity did not show any statistically significant differences between the open and closed methods of haemorrhoidectomy. However, healing was significantly faster in group B. SN - 1117-1936 UR - https://www.unboundmedicine.com/medline/citation/15300265/Open_versus_closed_haemorrhoidectomy_ L2 - https://medlineplus.gov/hemorrhoids.html DB - PRIME DP - Unbound Medicine ER -