Comparative study of open versus sutured haemorrhoidectomy in V.S.General Hospital, Ahmedabad

Dr ShaishavPatel; Dr Tejas Patel; Dr DarshakPrajapati; Dr Mukesh Suvera

Volume : IV, Issue : VIII, August - 2015

Comparative study of open versus sutured haemorrhoidectomy in V.S.General Hospital, Ahmedabad

Dr Shaishavpatel, Dr Tejas Patel, Dr Darshakprajapati, Dr Mukesh Suvera

Abstract :

Aim: The aim of this study was to compare the early outcome of the conventionalopen with that of the sutured haemorrhoidectomy. Method: Forty patients with symptomatic stage 3and 4haemorrhoidectomy were studied either with conventional open haemorrhoidectomy (n=20) or suturedhaemorrhoidectomy (n=20). All operations were performed under spinal anesthesia. Operative time, postoperative pain, duration taken to return to work, postoperative complications, wound healing rate and patient‘s satisfaction were recorded. Follow–up was weekly for four weeks. Results: Open haemorrhoidectomy was easier and quicker to perform than suturedhaemorrhoidectomy (P–value = 0.000). There was no statistically significant difference in the average post–operative pain scores (P–value = 0.054). No difference in the need for extra analgesia was observed. The sutured haemorrhoidectomy resulted in faster rate of wound healing and earlier return to normal activity than open haemorrhoidectomy(P–value = 0.027). The overall patient satisfaction score was 1.95 in the sutured group and 1.80 in the open group but this difference was not statistically significant (P–value 0.159). Conclusion: Sutured haemorrhoidectomy has a short–term clinical advantage over openhaemorrhoidectomy in terms of rate of wound healing and earlier return to work. There was no statistically significant difference in degree of patient satisfaction.