Main Article Content
Closed Haemorrhoidectomy: A Preliminary Report
Abstract
Introduction: The open haemorrhoidectomy has been criticized by various workers for its severe postoperative pains, slow wound healing and prolonged post operative care. This has led to a shift of interest to other methods of haemorrhoidectomy. Although, closed haemorrhoidectomy is not very popular in many centres in this country but commonly used in the United States of America, is obviously a dependable alternative. This study is set out to attest to the fact that closed haemorrhoidectomy is devoid of the above demerits and to join others in canvassing for its use as the main standard surgical procedure for 2nd and 3rd degree haemorrhoids.
Methodology: A prospective study of closed haemorrhoidectomy was carried out on all consecutive patients’ that presented in our centre with late 2nd and 3rd degree haemorrhoids between 2007 – 2011; and by a visual observation technique (categorical rating scale); the patients’ were closely monitored post-operatively while on admission.
Results: There were 12 males and 3 females in the study. Thirteen (13) of the patients’ got discharged on the 3rd post-operative day while the rest 2 were discharged on the 5th post-operative day and were seen weekly at the surgical outpatient department (SOPD) weekly for further assessment and follow-up. The peak wound healing rate was 2 weeks, range 2 – 3 weeks. The post- operative pain score was mild in most of the patients; acute urinary retention, post-operative bleeding and faecal impaction were none existent. The only complication was a secondary haemorrhage in one male patient that occurred on the 8th post-operative day.
Conclusion: Closed haemorrhoidectomy is a safe alternative method, almost free of complications and has a faster healing rate so; it should be embraced by all workers.
Methodology: A prospective study of closed haemorrhoidectomy was carried out on all consecutive patients’ that presented in our centre with late 2nd and 3rd degree haemorrhoids between 2007 – 2011; and by a visual observation technique (categorical rating scale); the patients’ were closely monitored post-operatively while on admission.
Results: There were 12 males and 3 females in the study. Thirteen (13) of the patients’ got discharged on the 3rd post-operative day while the rest 2 were discharged on the 5th post-operative day and were seen weekly at the surgical outpatient department (SOPD) weekly for further assessment and follow-up. The peak wound healing rate was 2 weeks, range 2 – 3 weeks. The post- operative pain score was mild in most of the patients; acute urinary retention, post-operative bleeding and faecal impaction were none existent. The only complication was a secondary haemorrhage in one male patient that occurred on the 8th post-operative day.
Conclusion: Closed haemorrhoidectomy is a safe alternative method, almost free of complications and has a faster healing rate so; it should be embraced by all workers.
