Comparative Analysis of Triple Hemostatic Open Hemorrhoidectomy Versus Traditional Open Hemorrhoidectomy

Background: Traditional open hemorrhoidectomy is the most commonly performed operation for the third or fourth degree hemorrhoidsin the developing world, despite considerable postoperative pain and bleeding complications. This modification is anattempt to reduce these complications and compare the o...

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Autor principal:	Muhammad Shamim
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2018
Materias:	hemorrhoidectomy surgical diathermy hemostatic techniques hemorrhoids Medicine R
Acceso en línea:	https://doaj.org/article/906938e4cd084ea682027f48c64e8f5d
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spelling	oai:doaj.org-article:906938e4cd084ea682027f48c64e8f5d2021-11-20T07:10:16ZComparative Analysis of Triple Hemostatic Open Hemorrhoidectomy Versus Traditional Open Hemorrhoidectomy2783-2430https://doaj.org/article/906938e4cd084ea682027f48c64e8f5d2018-03-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47166_6660430da7b47203496fc26c39672b78.pdfhttps://doaj.org/toc/2783-2430Background: Traditional open hemorrhoidectomy is the most commonly performed operation for the third or fourth degree hemorrhoidsin the developing world, despite considerable postoperative pain and bleeding complications. This modification is anattempt to reduce these complications and compare the outcome of both methods.Methods: A prospective, comparative study was conducted in phase I, at Fatima hospital at Baqai Medical University, from March2009 to August 2011. It was followed by a descriptive case-series in phase II, conducted at different hospitals from September 2011to August 2017. The inclusion criteria were patients of both genders and all age groups, with third or fourth degree hemorrhoidsrequiring surgery. The exclusion criteria were patients in between blocks (operated by other surgeons), patients with complicatedhemorrhoids, closed hemorrhoidectomy cases, cases operated by residents, and cases lost to follow-up. In phase I, a total of 182patients were enrolled and randomly allocated to group A or B undergoing triple hemostatic hemorrhoidectomy and traditionalopen hemorrhoidectomy, respectively; 231 patients were included in phase II (group C) undergoing modified hemorrhoidectomy.The analyzed variables were operative blood loss, operative time, postoperative pain, hospital stay, time to pain-free defecation, andper-operative or postoperative complications.Results: There was significantly more operative blood loss in group B patients. Pain perception was significantly high in group Bpatients at eight and 24 hours, as well as eighth, 15th, and 30th days. Group B patients also had longer duration of operation andmore prolonged pain-free defecation. Both, intra-operative and post-operative complications were higher among the group B. Theoutcome of phase II (group C) was similar to those of group A.Conclusions: In a limited resource setting, triple hemostatic open hemorrhoidectomy offers potential advantages of less operativeblood loss, shorter duration of operation, shortened hospital stay, shorter time to pain free defecation, and less postoperative painand other complications.Muhammad ShamimShiraz University of Medical Sciencesarticlehemorrhoidectomysurgical diathermyhemostatic techniqueshemorrhoidsMedicineRENIranian Journal of Colorectal Research, Vol 6, Iss 1 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	hemorrhoidectomy surgical diathermy hemostatic techniques hemorrhoids Medicine R
spellingShingle	hemorrhoidectomy surgical diathermy hemostatic techniques hemorrhoids Medicine R Muhammad Shamim Comparative Analysis of Triple Hemostatic Open Hemorrhoidectomy Versus Traditional Open Hemorrhoidectomy
description	Background: Traditional open hemorrhoidectomy is the most commonly performed operation for the third or fourth degree hemorrhoidsin the developing world, despite considerable postoperative pain and bleeding complications. This modification is anattempt to reduce these complications and compare the outcome of both methods.Methods: A prospective, comparative study was conducted in phase I, at Fatima hospital at Baqai Medical University, from March2009 to August 2011. It was followed by a descriptive case-series in phase II, conducted at different hospitals from September 2011to August 2017. The inclusion criteria were patients of both genders and all age groups, with third or fourth degree hemorrhoidsrequiring surgery. The exclusion criteria were patients in between blocks (operated by other surgeons), patients with complicatedhemorrhoids, closed hemorrhoidectomy cases, cases operated by residents, and cases lost to follow-up. In phase I, a total of 182patients were enrolled and randomly allocated to group A or B undergoing triple hemostatic hemorrhoidectomy and traditionalopen hemorrhoidectomy, respectively; 231 patients were included in phase II (group C) undergoing modified hemorrhoidectomy.The analyzed variables were operative blood loss, operative time, postoperative pain, hospital stay, time to pain-free defecation, andper-operative or postoperative complications.Results: There was significantly more operative blood loss in group B patients. Pain perception was significantly high in group Bpatients at eight and 24 hours, as well as eighth, 15th, and 30th days. Group B patients also had longer duration of operation andmore prolonged pain-free defecation. Both, intra-operative and post-operative complications were higher among the group B. Theoutcome of phase II (group C) was similar to those of group A.Conclusions: In a limited resource setting, triple hemostatic open hemorrhoidectomy offers potential advantages of less operativeblood loss, shorter duration of operation, shortened hospital stay, shorter time to pain free defecation, and less postoperative painand other complications.
format	article
author	Muhammad Shamim
author_facet	Muhammad Shamim
author_sort	Muhammad Shamim
title	Comparative Analysis of Triple Hemostatic Open Hemorrhoidectomy Versus Traditional Open Hemorrhoidectomy
title_short	Comparative Analysis of Triple Hemostatic Open Hemorrhoidectomy Versus Traditional Open Hemorrhoidectomy
title_full	Comparative Analysis of Triple Hemostatic Open Hemorrhoidectomy Versus Traditional Open Hemorrhoidectomy
title_fullStr	Comparative Analysis of Triple Hemostatic Open Hemorrhoidectomy Versus Traditional Open Hemorrhoidectomy
title_full_unstemmed	Comparative Analysis of Triple Hemostatic Open Hemorrhoidectomy Versus Traditional Open Hemorrhoidectomy
title_sort	comparative analysis of triple hemostatic open hemorrhoidectomy versus traditional open hemorrhoidectomy
publisher	Shiraz University of Medical Sciences
publishDate	2018
url	https://doaj.org/article/906938e4cd084ea682027f48c64e8f5d
work_keys_str_mv	AT muhammadshamim comparativeanalysisoftriplehemostaticopenhemorrhoidectomyversustraditionalopenhemorrhoidectomy
_version_	1718419495099301888

Comparative Analysis of Triple Hemostatic Open Hemorrhoidectomy Versus Traditional Open Hemorrhoidectomy

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