Surgical Profile and Demographic Patterns in Hemorrhoids Patients Undergoing Hemorrhoidectomy in Moradabad
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 2
Abstract
Introduction: Haemorrhoids one of the commonest recto-anal diseases is defined as distal displacement and enlarged size of normal cushions which results in various symptoms. More than four percent of the world population is suffering from haemorrhoids. Haemorrhoids are not varicose veins; evolution of haemorrhoids occurs due to injury of the anal cushion. Pain is the most predominant symptoms in external piles; however, painful conditions indicate other co morbidity along with haemorrhoids. One patient among every five patients have fissure as concomitant disorder. There is intense nerve supply to anoderm. That is why ligation process is not used for external haemorrhoids. Therefore the present study was designed to study the surgical profile of haemorrhoid patients which was going to be operated for haemorrhoids. Material and Methods: It was a cross sectional type of study which was carried out in the department of surgery of TMMC & RC, Moradabad. Present study was conducted from February 2016 to January 2018. 100 haemorrhoids patients undergoing for haemorrhoid surgery and willing to take part in the study were included in the study. Surgical profile of the patients undergoing haemorrhoidectomy was recorded in the present study. At the time of admission, patient’s history age, sex, occupation etc were collected. Rest data was carried out under pre designed questionnaire. Recto-anal examination was done of every patient. Results: It was found that maximum cases were below the age of 40 years i.e. 62.2% followed by 40-60 years of age group constituting 30% of cases. Males suffered more (73.3%) than females (26.7%). The Hindus had higher incidence (75.5%) than Muslims (24.5%). Haemorrhoids were seen commonly among urban dwellers (87.7%) than rural dwellers (12.3%). But occupation had no impact on incidence of haemorrhoids. Recto-anal examination revealed that 55% patients among 100 patients were suffering with co-morbid conditions. Anal fissure (41%) was most common co-morbidity in haemorrhoids patients followed by external piles (10%). Further, fistula in ano was found only in 4 % patients. Conclusion: Findings of the currents study suggest that haemorrhoids were more common below 40 years of age and males and occupation was irrelevant to subjects. Moreover, piles were more prevalent in Hindu and urban patients. Bleeding and pain were most common persisting symptoms. While anaemia was uncommon symptom. Further, anal fissure was most common co-morbidity found in haemorrhoids patients.
Authors and Affiliations
Roop Kishan Kaul, Ashok Kumar Singh, Naveen Kumar Singh, Shankar Prasad Sinha
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