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Haemorrhoidectomy: Ferguson's (closed) vs Milligan Morgan's technique (open)

N Pokharel1, R K Chhetri, B Malla

  • 1Department of surgery, Dhulikel Hospital, Kathmandu University Hospital Dhulikhel, Nepal. nabindai@yahoo.com

Nepal Medical College Journal : NMCJ
|December 9, 2009
PubMed

This study was done to compare the efficacy of closed Vs open haemorrhoidectomy. The study design was unblinded randomised control trial at Dhulikhel Hospital, Kathmandu University Hospital. Total number of patients was 56 all with 3rd and 4th degree haemorrhoids. Post operative pain was taken as main outcome measures. Operation time varied from 200 seconds for each haemorroidal cushion with open technique to 626 seconds by closed technique. The blood loss was not quantifiable in closed technique. Pain was scored on visual analogue scale. In closed group, the pain score was 4.9 immediate post operative period and 2.3 (24 hours later). In the other group, the scores were 7.8 and 6.9. These differences were significant. At the end of study we came to a conclusion that haemorrhoidectomy using closed technique has more advantages.

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