Al Amri Fahad Saeed
Department of Surgery, College of Medicine King Khalid University Abha Saudi Arabia.
Health Sci Rep. 2024 Jun 12;7(6):e2192. doi: 10.1002/hsr2.2192. eCollection 2024 Jun.
Hemorrhoids affect 75% of people worldwide. surgical hemorrhoidectomy remains the definitive intervention for severe cases. Postoperative wound care is critical, and alternative treatments, like Myrrh, are of growing interest due to their potential wound-healing properties. This study aimed to compare the safety, efficacy, and treatment outcomes of Myrrh sitz baths with standard clinical care in promoting wound healing after hemorrhoidectomy.
A retrospective cohort study was carried out using medical records from Abha Private Hospital for the period of January-December 2022. The data of patients who underwent hemorrhoidectomy were collected and categorized based on postoperative wound care into two groups: Group A for Myrrh-based wound care as a self-medication and Group B for standard wound care.
The study included 67 patients who underwent hemorrhoidectomy. Out of these patients, 52 had standard wound care, while 15 used Myrrh-based wound care as self-treatment without medical advice. The Myrrh group patients were significantly older with more comorbidities. The Myrrh group had significant Grade III wound healing outcomes 9/15 (60%) compared to the standard care group 2/52 (3.8%) ( < 0.001). However, despite the better healing outcomes, the Myrrh group had a significantly higher complication rate 7/15(46.7%) than the standard care group 1/52 (1.9%) ( < 0.001). These results indicate that despite the good healing capacity of Myrrh, cautious usage must be considered.
Myrrh sitz baths appear more effective than standard wound care in enhancing healing after hemorrhoidectomy. However, increased complications suggest the necessity for comprehensive evaluation and research on its safety profile. These findings can guide future research and clinical practices related to postoperative wound care.
痔疮影响着全球75%的人口。外科痔切除术仍是重症病例的决定性干预措施。术后伤口护理至关重要，而诸如没药等替代疗法因其潜在的伤口愈合特性而越来越受到关注。本研究旨在比较没药坐浴与标准临床护理在促进痔切除术后伤口愈合方面的安全性、有效性和治疗效果。
采用阿卜哈私立医院2022年1月至12月期间的病历进行回顾性队列研究。收集接受痔切除术患者的数据，并根据术后伤口护理将其分为两组：A组为使用没药进行伤口护理作为自我治疗，B组为标准伤口护理。
该研究纳入了67例接受痔切除术的患者。其中，52例接受标准伤口护理，15例在无医疗建议的情况下自行使用没药进行伤口护理。没药组患者年龄显著更大，合并症更多。没药组有显著的III级伤口愈合结果，为9/15（60%），而标准护理组为2/52（3.8%）（<0.001）。然而，尽管愈合效果更好，但没药组的并发症发生率显著高于标准护理组，分别为7/15（46.7%）和1/52（1.9%）（<0.001）。这些结果表明，尽管没药具有良好的愈合能力，但必须谨慎使用。
没药坐浴在促进痔切除术后愈合方面似乎比标准伤口护理更有效。然而，并发症增加表明有必要对其安全性进行全面评估和研究。这些发现可为未来与术后伤口护理相关的研究和临床实践提供指导。
