TY - JOUR AU - Islam, Muhammad AU - Shah, Nadeem Ali AU - Khan, Mumtaz AU - Ullah, Asad AU - Ali, Usman AU - Jan, Waqar Alam AU - Khan, Abdus Samad PY - 2011/07/19 Y2 - 2024/03/28 TI - A COMPARATIVE STUDY OF VARIOUS TYPES OF HEMORRHOIDECTOMY JF - Journal of Postgraduate Medical Institute JA - J Postgrad Med Inst VL - 21 IS - 2 SE - Original Article DO - UR - https://www.jpmi.org.pk/index.php/jpmi/article/view/13 SP - AB - <span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><p>Objective: To compare the outcome of various operative procedures of hemorrhoidectomy.</p><p>Material and Methods: This comparative study was conducted in Surgical Department, LRH, Peshawar,</p><p>from March to December 2005. Ninety patients with 2nd and 3rd degree internal hemorrhoids, were</p><p>randomly divided in to three groups of 30 patients each: "Group A" low ligation and excision with anal</p><p>stretch. "Group B": low ligation and excision without anal stretch. "Group C": closed hemorrhoidectomy.</p><p>Results: Postoperative pain was present in 4 (13.33%) cases in "Group A" and 3 (10%) cases each in</p><p>"Group B" and "Group C". Postoperative bleeding per rectum was present in 2 (6.66%) cases each in</p><p>Group A and Group B and 1 (3.33%) case in Group C. Postoperative urinary retention was observed in 1</p><p>(3.33%) case each in Group A and group B only. Postoperative wound infection and Postoperative perianal</p><p>abscess were recorded in 3 (10%) and 1 (3.33%) patients respectively in Group C only. Postoperative</p><p>incontinence of flatus was reported in 1 patient (3.33%) of Group A only. Postoperative skin tags were</p><p>seen in 2 (6.66%) cases of Group A, 1 (3.33%) case in Group B, and none in Group C. Recurrence was</p><p>not observed in patients during follow up. Mortality was not encountered in the three groups.</p><p>Conclusion: No statistical significance was found in these three operative procedures with respect to less</p><p>pain during the early postoperative period and faster wound healing with no recurrence in any group</p></span></span></span> ER -