Hemoroidektomide Miligan Morgan ile Ferguson Tekniklerinin Karşılaştırılması

GİRİŞ ve AMAÇ: Hemoroidal hastalık, literatürde tedavisinin her zaman tartışıldığı yaygın görülen patolojik bir durumdur. Cerrahi müdahaleler üçüncü veya dört derece hemoroid için uygulanabilir. Bu çalışmada amaç, açık ve kapalı tekniklerle hemoroid cerrahi onarımı sonuclarını postoperatif komplikasyon oranı ve ağrı süresi yönünden karşılaştırmaktır. YÖNTEM ve GEREÇLER: Çalışmaya, Mart 2012-Temmuz 2016 tarihleri arasında açık veya kapalı teknik ile ameliyat edilen 100 hasta dahil edildi. Demografik özellikler, klinik veriler, cerrahi girişimler, ameliyat bulguları, postoperatif komplikasyonlar ve postoperatif ağrı süreleri retrospektif olarak incelendi. BULGULAR: Ortalama yaş açık cerrahi yapılan grupta 43, kapalı cerrahi yapılan grupta 45.5 idi. Açık cerrahi yapılan gruptaki ortalama ameliyat süresi kapalı gruba göre anlamlı derecede kısaydı. Hastanede kalış süresi, kapalı grupta açık gruba göre daha düşüktü, ancak iki grup arasında istatistiksel olarak anlamlı fark yoktu (p = 0.06). Takipte ağrı süresi ve analjezik gereksinimi süresi kapalı grupta daha azdı. Ortalama yara iyileşme süresi açık grupta, kapalı gruba göre daha uzun bulundu (p

A Comparison Between Milligan-Morgan and Ferguson Procedures for Hemorrhoidectomy

INTRODUCTION: Hemorrhoidal disease is a commonpathologic condition that treatment’s has always been adiscussed subject in the literature. Surgical interventions canbe applied for third or four degree hemorrhoids. This studywas designed to evaluate and compare the outcome of surgicalrepair of hemorrhoids by the open versus closed technique toassess the rate of postoperative complications and duration ofpain.METHODS: A total of 100 patients who underwent operationby open or closed technique between March 2012 and July2016 were included in this study. Demographic, clinical data,surgical procedures, operative findings, postoperativecomplications and duration of postoperative pain wereretrospectively analyzed.RESULTS: The mean age was 43 in the open group and 45.5in the closed group. The mean operating time in open groupwas significantly shorter than in the closed group. Hospitalstay period was also lesser in closed group than open groupbut no statistically significant difference was found betweentwo groups (p=0.06). On follow up, duration of pain andanalgesic requirement period was less in closed group. Meanwound healing time was longer in open group than closedgroup (p

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