A comparative study of closed versus open haemorrhoidectomy

Abstract

Background: Haemorrhoids, commonly called piles, are small, round, fleshy bumps that contain enlarged blood vessels, and are found around your anus or in your anal canal. They are associated with an increased pressure in your blood vessels in and around your anus causing them to become inflamed and swollen. It is thought that irritable bowel syndrome (IBS) may contribute to haemorrhoids developing around the anus as it can cause constipation and diarrhoea that lead to unusual straining during bowel movements.Methods: In the present study 60 cases of 2nd and 3rd degree haemorrhoids were chosen with complaints of bleeding per rectum, pain during defecation, mass per rectum, discharge and irritation. A detailed history of each patient was taken, and the data entered in the proforma.Results: Present study given 86% of cases good healing after six weeks of treatment. Open haemorrhoidectomy showed healing in 43% of cases and closed haemorrhoidectomy showed healing in 73 % cases after 3 weeks of treatment in present study.Conclusions: The results of the study concluded that post-operative pain was less in closed haemorrhoidectomy with early wound healing.