A Prospective Randomized Case Controlled Trial of Vessel Sealer Haemorrhoidectomy versus Conventional Milligan- Morgan Haemorrhoidectomy
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 3
Abstract
Aims and Objective: The aim of the present study was to compare the short term results of the VSH group to the MMH group, in grade 3rd and 4th haemorrhoid patients. Methods: sixty patients were included in this study, and were divided into two groups consisting 30 patients in each group, Vessel sealer Haemorrhoidectomy group (VSHG) and Milligan Morgan Haemorrhoidectomygroup (MMHG). Demographic data, operative details and postoperative parameters were evaluated. Result: There was no statistically difference in two groups in regard to mean age, gender, grade and number of haemorrhoids. The Mean operative time (min)(9.7±2.42 versus 15.43±3.08, p value 0.001) and mean intraoperative blood loss per pile mass (ml) (6.76±2.09 versus 15.86±3.39, p value 0.001) were less in VSHG. The mean postoperative pain score on Day 1 (7.9±0.71 versus 8.8± 0.40, p value 0.001), on Day 2 (4.06±1.28 versus 6.86±1.22, p value 0.001), on Day 7(1.4±0.49 versus 2.56±0.77, p value 0.001), the mean postoperative hospital stay (Days) (3.2±0.92 versus 4.13±1.0, p value 0.001), mean time to return to normal activity (Days) (10.43±3.14 versus 14.63±2.94, p value 0.0001), mean time to achieve complete wound healing (Days) (13.6±3.58 versus 17.4±4.43, p value 0.0001), and postoperative urinary retention significant (p value 0.02) were less in VSHG, although postoperative hemorrhage difference was insignificant. The mean patients satisfaction score (3.83±0.8 versus 3.36±0.96, p value 0.04) was higher in higher in VSHG. Conclusion: Our study concluded that vessel sealer haemorrhoidectomy is safe with many short term benefits.
Authors and Affiliations
Dr. Shivcharan Bairwa
Keywords
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