A Comparative Study Between open Hemorrhoidectomy With Lateral Internal Sphincterotomy And Hemorrhoidectomy Without Lateral Internal Sphincterotomy.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Haemorrhoids is a common human illness that has limited choice accessible for the typical open surgical procedure. The foremost common complication of open surgical procedure is operative pain caused by spasm of the inner sphincter muscle. Lateral internal sphincterotomy could be an ordinarily performed procedure for relieving spasm and pain. Hence, we tend to determine whether or not addition of lateral internal sphincterotomy beside surgical procedure will facilitate within the operative pain relief. The aim of this study is to compare of open haemorrhoidectomy without lateral internal sphincterotomy and haemorrhoidectomy with lateral internal sphincterotomy. The study conducted between January 2014 to December 2016 in a district level public hospital and several private hospitals in Feni districts, Chittagong, Bangladesh. Patients were selected purposively who were received treatment for 3rd and 4 th degree Haemorrhoids in our selected hospitals for surgical procedure with lateral internal sphincterotomy or without lateral internal sphincterotomy. In the study 54 patients were selected maintaining inclusion and exclusion criteria of the study. Among them 27 in open hemorrhoidectom group with lateral internal sphinterotomy and another 27 in open hemorrhoidectomy alone. Sixty nine (69%) were male and remaining thirty one (31%) were female. Patients in 2nd group reported less postoperative pain as compared to 1 st group. In final assessment, we found 6 patients in 1 st group who were completely pain free but 19 in 2nd group (p value=0 .00). In post operative stage using (VAS: visual analog scale), we see less post operative pain recorded from 2nd group. In the conclusion, we observed for releasing spasm and pain, Lateral internal sphinterotomy combined with hemorrhoidectomy is more suitable procedure than Lateral internal sphinterotomy alone.
Authors and Affiliations
Dr. Md. Kamruzzaman, Dr. Md. Haroon Or Rashid, Dr. Nurul Kabir, Dr. Mohammad Mustafizur Rahman, Dr. Md. Matiar Rahaman Khan
Keywords
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- EP ID EP395477
- DOI 10.9790/0853-1709105760.
- Views 75
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