Authors :
Dr. Kenneth Onyejekwe; Stephen Garba; Dr. Monday Yilkudi; David-Terna Yawe
Volume/Issue :
Volume 9 - 2024, Issue 1 - January
Google Scholar :
http://tinyurl.com/3rccxsu8
Scribd :
http://tinyurl.com/y6p287h9
DOI :
https://doi.org/10.5281/zenodo.10610019
Abstract :
Background:
Milligan-Morgan (open) and Ferguson (closed)
hemorrhoidectomies are effective treatments for severe
haemorrhoids, but debate lingers about post-operative
complications. Studies differ on which approach leads to
less pain, anal incontinence, bleeding, or healing issues.
This research at University of Abuja Teaching Hospital
(UATH) aimed to compare these methods of treatment of
severe haemorrhoids to undertake appropriate pre-
operative counselling and patient decisions.
Objective:
To compare the severity of post-operative pain at
the time of the first bowel movement and anal
incontinence at the sixth week following surgery to better
understand patients' experiences with open versus closed
haemorrhoidectomy.
Patients and Method:
Thirty-six (36) patients (26-72 years, both sexes)
with severe haemorrhoids were randomly assigned to
either open (Group A) or closed (Group B) surgery at
UATH. Both groups received spinal anaesthesia. Pain
was assessed using a visual scale (score 0-10) at various
intervals until 6 weeks after surgery, including during
the first bowel movement. Patients were trained on using
the scale, with higher scores indicating worse pain. The
secondary outcome of anal incontinence was measured at
6 weeks with questionnaires and clinical examination.
IBM SPSS 27 was utilized for the data analysis (p < 0.05
for significance).
Result:
Both the open and closed haemorrhoidectomy
methods provide similar levels of pain. There was no
statistically significant variation in the level of
discomfort experienced during the two
hemorrhoidectomies methods. Due to the lack of a
statistically significant difference, the complications
associated with anal incontinence were similar in both
groups.
Conclusion:
Both open and closed haemorrhoidectomy offer
manageable pain, with no statistically significant
difference in pain intensity in both groups. There is no
statistical difference in anal incontinence in the open and
closed techniques of haemorrhoidectomy.
Keywords :
Post-Operative Pain, Haemorrhoid, Haemorrhoidectomy, Complications, Comparison.
Background:
Milligan-Morgan (open) and Ferguson (closed)
hemorrhoidectomies are effective treatments for severe
haemorrhoids, but debate lingers about post-operative
complications. Studies differ on which approach leads to
less pain, anal incontinence, bleeding, or healing issues.
This research at University of Abuja Teaching Hospital
(UATH) aimed to compare these methods of treatment of
severe haemorrhoids to undertake appropriate pre-
operative counselling and patient decisions.
Objective:
To compare the severity of post-operative pain at
the time of the first bowel movement and anal
incontinence at the sixth week following surgery to better
understand patients' experiences with open versus closed
haemorrhoidectomy.
Patients and Method:
Thirty-six (36) patients (26-72 years, both sexes)
with severe haemorrhoids were randomly assigned to
either open (Group A) or closed (Group B) surgery at
UATH. Both groups received spinal anaesthesia. Pain
was assessed using a visual scale (score 0-10) at various
intervals until 6 weeks after surgery, including during
the first bowel movement. Patients were trained on using
the scale, with higher scores indicating worse pain. The
secondary outcome of anal incontinence was measured at
6 weeks with questionnaires and clinical examination.
IBM SPSS 27 was utilized for the data analysis (p < 0.05
for significance).
Result:
Both the open and closed haemorrhoidectomy
methods provide similar levels of pain. There was no
statistically significant variation in the level of
discomfort experienced during the two
hemorrhoidectomies methods. Due to the lack of a
statistically significant difference, the complications
associated with anal incontinence were similar in both
groups.
Conclusion:
Both open and closed haemorrhoidectomy offer
manageable pain, with no statistically significant
difference in pain intensity in both groups. There is no
statistical difference in anal incontinence in the open and
closed techniques of haemorrhoidectomy.
Keywords :
Post-Operative Pain, Haemorrhoid, Haemorrhoidectomy, Complications, Comparison.
