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A study of comparison between closed and open Haemorroidectomy

Author: 
Prof Dr. K. Mahadevan and Dr. A. Muthuvinayagam, Dr. S. Jeeva, Dr. A. Deepa and Dr. K. Sugumaran
Subject Area: 
Health Sciences
Abstract: 

Introduction: Haemorroids is one of the commonest clinical condition that we have come acrossed in our surgical practice. It is one of the commonest troublesome disease also. It is usually diagnosed by their external appearance, symptoms obtained from the patients, proctoscopic examination, per rectal examination, and sigmoidoscopic examination. To rule out carcinoma rectum all cases should be screened by sigmoidoscopy. All patients of haemorroids cannot be treated with only one procedure, each of them is to be evaluated correctly with clinical findings, proctoscopic and sigmoidoscopic examinations. Sometimes manometric study may be necessary for the correct procedure. Materials and Methods: In this study,100 Patients were evaluated in thanjavaur medical college for open and closed haemorroidectomy from May 2015 – May 2016 .Those patients were evaluated for advantages and disadvantage in both procedure and final outcome were studied based on the postoperative outcome and followup. Observation: In this study majority of cases were above fifty years of age and constituting about 50 percent. Male female ratio approximately 2.4 :1 Two patients have the positive family history Among the 100 cases bleeding was the presenting feature in 68 cases, 64 cases had prolapse, 26 had anal discharge, 18 patients had the anal irritation. Operating time is shorter in the open method, in closed method operating time was slightly longer Wound healing was delayed in open operation patients.

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