Hemorrhoidectomy: Open or Closed Technique?: A Prospective, Randomized Clinical Trial

• Published in: Diseases of the colon & rectum Vol. 45; no. 1; pp. 70 - 75
• Main Authors: GENCOSMANOGLU, Rasim, SAD, Orhan, KOC, Demet, INCEOGLU, Resit
• Format: Journal Article
• Language: English
• Published: Secaucus, NJ The ASCRS 01.01.2002; Springer; Lippincott Williams & Wilkins Ovid Technologies
• Subjects: Adult; Aged; Analgesics - administration & dosage; Analgesics - therapeutic use; Biological and medical sciences; Female; Follow-Up Studies; Hemorrhoids - surgery; Humans; Length of Stay; Male; Medical sciences; Middle Aged; Pain Measurement; Pain, Postoperative - drug therapy; Pain, Postoperative - etiology; Postoperative Complications; Prospective Studies; Recovery of Function; Stomach, duodenum, intestine, rectum, anus; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Surgical Procedures, Operative - adverse effects; Time Factors; Treatment Outcome; Urinary Retention - etiology; Wound Healing; Human; Endoscopic surgery; Cardiovascular disease; Venous disease; Vascular disease; Randomization; Treatment; Digestive diseases; Intestinal disease; Selection criterion; Clinical trial; Hemorrhoid; Technique; Anorectal disease; Hemorrhoidectomy
• ISSN: 0012-3706; 1530-0358
• DOI: 10.1007/s10350-004-6116-1

PURPOSE: METHODS: RESULTS:Mean operating time was significantly shorter in Group A (35 ± 7 vs. 45 ± 8 minutes, P < 0.001). Analgesic requirement on the day of surgery and the first postoperative day was also significantly lower (P < 0.05). The morbidity rate was higher in Group B (P < 0.05). Length of hospital stay and duration of inability to work were similar in both groups (P > 0.05). Healing time was significantly shorter in Group B (2.8 ± 0.6 vs. 3.5 ± 0.5 weeks, P < 0.001). Median follow-up time was 19.5 (range, 4-40) months. The only late complication (anal stenosis) was observed in one patient in Group B. CONCLUSIONS: