Haemorrhoidectomy: Ferguson's (closed) vs Milligan Morgan's technique (open)

This study was done to compare the efficacy of closed Vs open haemorrhoidectomy. The study design was unblinded randomised control trial at Dhulikhel Hospital, Kathmandu University Hospital. Total number of patients was 56 all with 3rd and 4th degree haemorrhoids. Post operative pain was taken as ma...

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Bibliographic Details
Published inNepal Medical College journal : NMCJ Vol. 11; no. 2; p. 136
Main Authors Pokharel, N, Chhetri, R K, Malla, B, Joshi, H N, Shrestha, R K M
Format Journal Article
LanguageEnglish
Published Nepal 01.06.2009
Subjects
Digestive System Surgical Procedures - methods
Female
Hemorrhoids - surgery
Humans
Male
Middle Aged
Pain Measurement
Pain, Postoperative
Suture Techniques
Treatment Outcome
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Summary:This study was done to compare the efficacy of closed Vs open haemorrhoidectomy. The study design was unblinded randomised control trial at Dhulikhel Hospital, Kathmandu University Hospital. Total number of patients was 56 all with 3rd and 4th degree haemorrhoids. Post operative pain was taken as main outcome measures. Operation time varied from 200 seconds for each haemorroidal cushion with open technique to 626 seconds by closed technique. The blood loss was not quantifiable in closed technique. Pain was scored on visual analogue scale. In closed group, the pain score was 4.9 immediate post operative period and 2.3 (24 hours later). In the other group, the scores were 7.8 and 6.9. These differences were significant. At the end of study we came to a conclusion that haemorrhoidectomy using closed technique has more advantages.