Department of Surgery, Mayo Hospital Lahore.
Department of Surgery, King Edward Medical College Lahore-Pakistan.
J Ayub Med Coll Abbottabad. 2023 Feb-Mar;35(1):95-98.
Haemorrhoids are very common but their exact prevalence is not known as most of the people suffering from them do not seek medical or surgical advice. The literature states their prevalence to be about 39% and commonly affect people aged between 45-65 years of age. Objective of the study was to compare the outcomes of open haemorrhoidectomy Vs Trans anal Doppler ultrasound guided hemorrhoidal artery ligation with recto-anal repair in 3rd and 4th degree haemorrhoids. It was a Randomized control trial, conducted at the Department of Surgery, King Edward Medical University, Lahore; from October 2019 to March 2021.
This was a randomized control trial study where the results of 70 patients of haemorrhoids including 3rd and 4th degree disease fulfilling the selection criteria, who underwent open haemorrhoidectomy (OH) and Doppler guided haemorrhoidal artery ligation with rectoanal repair (HAL RAR) procedure on elective and emergency operating lists, were analyzed with regards to post-operative pain, bleeding and hospital stay.
From our seventy patients the minimum age was 23 and maximum age limit was 55 years (mean: 35.09±7.47). There were 49 (70%) males and 21 (30%) females. Mean post-op pain on day 7 for OH was 1.12±0.72 and for HAL RAR it was 1.06±0.52. Post-op bleeding (POB) occurred in 4 (10%) patients in OH group and 2(6.66%) patients in HAL RAR group. Mean hospital stay for OH group was 2±0.45 and for HAL RAR it was 1.20±0.40, for POB, it was 1.9±0.30 in OH group and 1.86±0.34 in HAL-RAR group.
There was no significant difference in mean post-op pain on day seven, and post-op bleeding, but there was significant difference in terms of mean hospital stay between the two groups.
痔疮非常常见，但由于大多数患者没有寻求医疗或手术建议，因此其确切患病率尚不清楚。文献报道其患病率约为 39%，常见于 45-65 岁人群。本研究的目的是比较开放式痔切除术与经肛门多普勒超声引导痔动脉结扎联合直肠肛门修复术治疗 3 度和 4 度痔的疗效。这是一项在拉合尔爱德华国王医科大学外科系进行的随机对照试验，时间为 2019 年 10 月至 2021 年 3 月。
这是一项随机对照试验研究，对符合选择标准的 70 例痔病患者（包括 3 度和 4 度疾病）的手术结果进行了分析，这些患者在选择性和紧急手术清单上接受了开放式痔切除术（OH）和经肛门多普勒超声引导痔动脉结扎联合直肠肛门修复术（HAL RAR）治疗，分析了术后疼痛、出血和住院时间。
在我们的 70 名患者中，最小年龄为 23 岁，最大年龄为 55 岁（平均：35.09±7.47）。男性 49 例（70%），女性 21 例（30%）。OH 组术后第 7 天的平均术后疼痛为 1.12±0.72，HAL RAR 组为 1.06±0.52。OH 组有 4 例（10%）患者出现术后出血（POB），HAL RAR 组有 2 例（6.66%）患者出现 POB。OH 组的平均住院时间为 2±0.45，HAL RAR 组为 1.20±0.40，POB 组为 1.9±0.30，HAL-RAR 组为 1.86±0.34。
两组患者术后第 7 天的平均术后疼痛和术后出血无显著差异，但平均住院时间有显著差异。
