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Related Experiment Videos

Haemorrhoidectomy in outpatient practice.

Peter Labas1, Bernard Ohradka, Marek Cambal

  • 11st Department of Surgery, University Hospital Bratislava, Bratislava, Slovak Republic. peterlabas@hotmail.com

The European Journal of Surgery = Acta Chirurgica
|April 18, 2003
PubMed
Summary

Day case haemorrhoidectomy is a safe and effective outpatient procedure. This study found it reduces costs without increasing patient morbidity or mortality, and most patients are satisfied.

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Area of Science:

  • Colorectal Surgery
  • Surgical Outcomes
  • Patient Management

Background:

  • Haemorrhoidectomy is a common surgical procedure.
  • Evaluating outpatient surgical options is crucial for healthcare efficiency.

Purpose of the Study:

  • To assess the outcomes of haemorrhoidectomy performed as an outpatient procedure.
  • To determine the safety, efficacy, and patient acceptability of day case haemorrhoidectomy.

Main Methods:

  • Retrospective study of 256 patients undergoing Milligan-Morgan haemorrhoidectomy.
  • Procedures performed under local or epidural anaesthesia.
  • Outcomes assessed included mortality, morbidity, hospital admission rates, and patient satisfaction.

Main Results:

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  • No mortality was observed in the study cohort.
  • Minor complications occurred in 9% of patients (bleeding, pain, anal discharge, urine retention).
  • 87% of patients were satisfied with the outpatient treatment, with 2% requiring hospital admission.

Conclusions:

  • Day case haemorrhoidectomy is a safe and effective surgical option.
  • Outpatient procedures can reduce healthcare costs without compromising patient safety or outcomes.
  • The procedure is well-accepted by the majority of patients.