##plugins.themes.academic_pro.article.main##
Abstract
Hemorrhoids is one of the most common health problems faced by internists, as the definition and aetiology are
discussed, and hemorrhoids is often a difficult condition in our daily practice.
Goal
This research aims to use different methods of hemorrhoidectomy and general evaluation of postoperative values of
Iraqi patients.
Materials and method
In this study, 90 hemorrhoidal patients who agreed to participate in the study were recruited.
An observational, descriptive, and retrospective study was conducted on patients with hemorrhoids using data
collected from several different hospitals in Iraq from July 2021 to November 2021.
A questionnaire was designed by expert physicians for patients with hemorrhoids group from the Ministry of Public
Health, a database was created using Microsoft Access, statistical analysis was performed using IBM SOFT SPSS 22
for Windows, and the final document was prepared with Microsoft Office package.
Consequences
The result found in this study is 90 patients were collected and divided into two groups (open 40 and closed 50)
between the ages of 20 to 60 years.
In this study, the ASA score was relied upon for the purpose of measuring the type of process pattern. In addition,
it was relied on to classify the degrees of pain and complications that cause by Iraqi patients. Weak results were
found in the open group, more than 0 in the closed group, where a statistically significant relationship of 0.041 was
found.
Conclusion
We conclude from this study that closed-type operations are better than open-type in stopping bleeding and closing
the wound in the anus in the future of the patient.
Keywords
##plugins.themes.academic_pro.article.details##
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
- Bernstein w What are hemorrhoids, and what is their relationship to the portal venous system? Dis colon rectum 1983؛26:829.
- Cataldo Palestinian AuthorityAndmaser WP current surgical treatmented. 4, p218-22. Edited by Cameron JL St. Louis, MO, Mosby-Yearbook,1992.
- Carapeti EA, Kamm MA, McDonald PJ, Phillips RK Double-blind randomized controlled trial of the effect of metronidazole on pain after day-case hemorrhoidectomy. Lancet 1990; 351: 169–72.
- Pfenninger J Modern treatments for internal hemorrhoids: scalpel surgery is now rarely needed. Br With J 1997; 314:1211–2.
- Mehigan BJ Stapling procedure for haemorrhoids versus Milligan-Morgan haemorrhoidectomy: randomised controlled trial.Lancet 2000;355:782–5.
- Khan S, Pawlak SE, Eggenberger JC, et al. Surgical treatment of hemorrhoids: prospective, randomized trial comparing closed excisional hemorrhoidectomy and the Harmonic Scalpel technique of excisional hemorrhoidectomy.Dis Colon Rectum 2001;44:845–9.
- Partridge LM, Bartalucci B, Benzini L, Borri A, Catharsis S, Coronation K Early and late (ten years) experience with circular stapler hemorrhoidectomy.Dis Colon Rectum 2001;44:836–41.
- Schwartz RO Total laparoscopic total hysterectomy with the harmonic scalpel. J Gynecol Surg 1994; 10: 33–4.
- McCarus S Physiologic mechanism of the ultrasonically activated scalpel. J Am Assoc Gynecol Laparosc 1996;3:601–8.
- Google ScholarCrossrefPubMedWorldCat
- Armstrong DN, Ambrose WL, Schertzer ME, Orangio GR Harmonic scalpel vs. electrocautery hemorrhoidectomy: a prospective evaluation.Dis Colon Rectum 2001;44:558–64.
- Chung CC, Ha JP, This JP, Tsang WW, Li MK Double-blind, randomized trial comparing Harmonic scalpel hemorrhoidectomy, bipolar scissors hemorrhoidectomy, and scissors excision.Dis Colon Rectum 2002;45:789–94.
- Gencosmanoglu R, Sad O, Koc D, Inceoglu R Hemorrhoidectomy: open or closed technique: a prospective, randomized clinical trial. Dis Colon Rectum 2002; 45:70–5.
- Arbman G, Crook H, Aspen Cape S Closed vs. open hemorrhoidectomy–is there any difference?Dis Colon Rectum 2000;43:31–4.
- Milligan ETC, Morgan CN, Jones THE, Officer R Surgical anatomy of the anal canal and the operative treatment of haemorrhoids. Lancet 1937; ii: 1119–24.
- To YH, Seow-Choen MT, Leong OF Randomized controlled trial of open and closed haemorrhoidectomy. Br J Surg 1997;84:1729–30.
- LEE K.C., LIU C.C., HU W.H., LU C.C., LIN S.E., and CHEN H.H.: Risk of delayed bleeding after hemorrhoidectomy. International journal of colorectal disease, 34 (2): 247-253, 2019.
- POKHAREL N., CHHETRI R.K., MALLA B., JOSHI H.N., and SHRESTHA R. K.: Hemorrhoidectomy: Ferguson's (closed d) Vs. Milligan -- Morgan's technique (open). Nepal Med. Coll. J., 11 (2): 136-7, 2009. 8- KHUBCHANDANI I.T.: Internal sphincterotomy with hemorrhoidectomy does not relieve pain.
- Diseases of the colon & rectum, 45 (11): 452-1457, 2002. 9- NG K.S., HOLZGANG M., and YOUNG C.: Still a case of “no pain, no gain”? An updated and critical review of the pathogenesis, diagnosis, and management options for hemorrhoids in 2020.
- Annals of Coloproctology, 36 (3): 133, 2020. 10- PATTANAYAK S., KUMAR M., PATRO S.K., and BEHERA M.K.: Plication: An innovative method of treating piles. International Surgery Journal, 6 (11): 4056-4061, 2019.