A PROSPECTIVE STUDY COMPARING POST-OPERATIVE OUTCOMES BETWEEN OPEN AND CLOSED HAEMORRHOIDECTOMY AT A TERITIARY CARE CENTRE

Abstract

Background: Hemorrhoidectomy is the treatment of choice for patients with third-degree or fourth-degree hemorrhoids. This prospective randomized clinical study compared the outcome of surgical haemorrhoidectomy by open and closed techniques in terms of postoperative pain, postoperative complications, and wound healing. Patients and Methods: This study included 60 patients who underwent haemorrhoidectomy at Surgery Department of KATURI MEDICAL COLLEGE & HOSPITAL. The participants were divided into two groups: Group 1: Open haemorrhoidectomy, Group 2: Closed haemorrhoidectomy. In bot Results: h close & open procedures, no patient was pain free. However, Post-operative pain scores were signicantly low in the closed Group than open Group during rst 24 hours. In terms of postoperative complications, there was no statistical difference between the two procedures. Length of hospital stay, and faster wound healing time were better in closed group. Both the open and closed approaches are Conclusion: less expensive, safe, simple to use, and yield positive outcomes. We discovered that Ferguson's closed approach had signicant advantages over Morgan's open approach