Comparison of Outcomes between Open and Closed Haemorrhoidectomy

Horrhoidectomy can prolong hospital stays due to pain, bleeding, and wound infections. Horrhoidectomy improves postoperative pain and wound healing. This research examined postoperative pain, hemorrhage, operating time, and wound healing after open and closed hemorrhoidectomy. Objective: To determine the post-operative outcomes of open and closed haemorrhoidectomy in terms of wound healing, pain perception and complications. Methods: This comparative study was conducted at Department of Surgery, DHQ Teaching Hospital, Sargodha from 1st September 2022 to 28th February 2023. Sixty patients were selected and divided into two groups; open and closed haemorrhoidectomy. Grade-III and grade-IV patients were underwent haemorrhoidectomy on the basis of severity and internal haemorrhoids. SPSS version 26.0 was used to analyse all the data. Results: There were 40 (66.7%) males and 20 (33.3%) females. Approximately 43.3% of the patients from closed group showed mild pain whereas 36.6% of the cases from open group complain mild pain after open haemorrhoidectomy. An open haemorrhoidectomy incision healed in 22 days, but a closed one took 15 days (p=0.56). The early onset of post-operative closed haemorrhoidectomy patients had 3.3%, 6.6%, and 3.3% cases of hemorrhoid, infection, and urinary retention, while the early onset of open patients had 6.6%, 10%, and 6.6%. There was just one patient in the open haemorrhoidectomy group with late-onset anal stenosis, and no other patient in either group developed fissure or faecal incontinence. Conclusion: Almost similar pain perception was observed in both surgical procedures before and after the surgery.