Assessment of Patients Undergoing Haemorrhoid Surgery

Undergoing Haemorrhoid Surgery

  • R Madhuvanan Assistant Professor, Department of Surgery, PK Das Institute of Medical Sciences, Vaniamkulam, Ottapalam, Kerala, India
Keywords: Open haemorrhoidectomy, Smoking, Cough, Bleeding

Abstract

Background: Aim: To assess outcome of Haemorrhoidectomy patients. Subjects and Methods: Ninety- two patients with Haemorrhoidectomy were included in the study. In all dietary habits, bowel habits, physical activity, smoking, alcohol, family history and clinical features were assessed. Patients underwent open haemorrhoidectomy, closed haemorrhoidectomy and Lateral internal sphincterotomy with haemorrhoidectomy. Type of haemorrhoids was also recorded. Results: Age group 18-28 years had 4 males and 2 females, 38-48 years had 8 males and 5 females, 48-58 years had 12 males and 10 females and 58-68 years had 38 males and 13 females. Physical activity was present among 16, 44 were vegetarian and 48 were on mixed diet, positive family history was seen in 32, smoking was seen in 56 and alcoholism in 50. A significant difference was observed (P< 0.05). Type of haemorrhoids was internal in 52, external in 25 and strangulated in 25. Clinical features seen were cough in 83, straining in 54, constipation in 70, bleeding from rectum in 65, mass through rectum in 22 and pain in 92. Surgery performed was open haemorrhoidectomy in 65, closed haemorrhoidectomy in 10 and lateral internal sphincterotomy with haemorrhoidectomy in 17 cases. A significant difference was observed (P< 0.05). Conclusion: Maximum cases were seen in advanced age. open haemorrhoidectomy was performed in maximum cases.

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Published
2019-12-31
Section
Articles