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Open haemorrhoidectomy revisited
A F Uba1, C H Ihezue, P O Obekpa
1Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria.
Summary
Open haemorrhoidectomy, despite criticisms, shows a mean wound healing rate of 5 weeks and remains a safe surgical option. This study re-appraises its effectiveness for hemorrhoid treatment.
Area of Science:
- Colorectal Surgery
- Surgical Outcomes
- Hemorrhoid Treatment
Background:
- Open haemorrhoidectomy faces criticism for slow wound healing, pain, and prolonged recovery.
- This has prompted interest in alternative hemorrhoidectomy techniques.
- Re-evaluation of open hemorrhoidectomy's drawbacks is necessary for informed clinical decisions.
Purpose of the Study:
- To prospectively assess wound healing and complication rates of open hemorrhoidectomy.
- To re-appraise the criticisms against open hemorrhoidectomy.
- To provide a rational conclusion and recommendation regarding the technique.
Main Methods:
- Prospective assessment of 39 consecutive patients undergoing open hemorrhoidectomy for 2nd and 3rd degree hemorrhoids.
- Data collected on wound healing rate and complication rate.
- Analysis of patient demographics, hospital stay, pain, and urinary retention.
Main Results:
- Average hospital stay was 3 days.
- Common complications included post-operative pain and acute urinary retention.
- Mean wound healing rate was 5 weeks, with a peak incidence at the 5th post-operative week.
Conclusions:
- Open haemorrhoidectomy is a safe and simple surgical technique.
- It should not be entirely replaced by newer methods.
- The study supports the continued use of open hemorrhoidectomy in appropriate cases.