Open vs. closed hemorrhoidectomy
This prospective, randomized, clinical trial compared the outcome of surgical hemorrhoidectomy by open and closed techniques in terms of postoperative pain, wound healing, and morbidity. All consecutive patients with Grade III internal hemorrhoids with prominent external components or Grade IV hemor...
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| Veröffentlicht in: | Diseases of the colon & rectum 2005, Vol.48 (1), p.108-113 |
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| creator | YOU, Seong Y KIM, Seung H CHUNG, Choon S LEE, Dong K |
| description | This prospective, randomized, clinical trial compared the outcome of surgical hemorrhoidectomy by open and closed techniques in terms of postoperative pain, wound healing, and morbidity.
All consecutive patients with Grade III internal hemorrhoids with prominent external components or Grade IV hemorrhoids were randomly allocated to one of two groups. The entire wound was left open in the open group and completely closed using 5-0 chromic sutures in the closed group. Postoperative pain was assessed by a linear analog scale. Additional consumption of oxycodone hydrochloride on the day of surgery and at defecation during the first week was recorded. Patients were followed up 1, 2, and 3 weeks after the procedure.
There were 40 patients in each group. Pain score at recovery from the anesthesia was significantly lower in the closed group (P < 0.05). Altogether, 15 percent of patients in the closed group required additional oxycodone hydrochloride for pain compared to 45 percent in the open group (P < 0.01). The pain score at the first bowel movement was significantly lower in the closed group (P < 0.01). Wound healing was significantly faster in the closed group: 75 percent of patients in the closed group had healed at 3 weeks after the procedure compared to 18 percent in the open group (P < 0.001).
The closed technique is more advantageous with respect to less pain during the early postoperative period and faster wound healing. |
| doi_str_mv | 10.1007/s10350-004-0794-6 |
| format | Article |
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All consecutive patients with Grade III internal hemorrhoids with prominent external components or Grade IV hemorrhoids were randomly allocated to one of two groups. The entire wound was left open in the open group and completely closed using 5-0 chromic sutures in the closed group. Postoperative pain was assessed by a linear analog scale. Additional consumption of oxycodone hydrochloride on the day of surgery and at defecation during the first week was recorded. Patients were followed up 1, 2, and 3 weeks after the procedure.
There were 40 patients in each group. Pain score at recovery from the anesthesia was significantly lower in the closed group (P < 0.05). Altogether, 15 percent of patients in the closed group required additional oxycodone hydrochloride for pain compared to 45 percent in the open group (P < 0.01). The pain score at the first bowel movement was significantly lower in the closed group (P < 0.01). Wound healing was significantly faster in the closed group: 75 percent of patients in the closed group had healed at 3 weeks after the procedure compared to 18 percent in the open group (P < 0.001).
The closed technique is more advantageous with respect to less pain during the early postoperative period and faster wound healing.</description><identifier>ISSN: 0012-3706</identifier><identifier>EISSN: 1530-0358</identifier><identifier>DOI: 10.1007/s10350-004-0794-6</identifier><identifier>PMID: 15690666</identifier><identifier>CODEN: DICRAG</identifier><language>eng</language><publisher>Secaucus, NJ: Springer</publisher><subject>Adult ; Aged ; Anesthesia, General ; Biological and medical sciences ; Defecation ; Female ; Hemorrhoids - surgery ; Humans ; Length of Stay ; Male ; Medical sciences ; Middle Aged ; Pain, Postoperative ; Prospective Studies ; Stomach, duodenum, intestine, rectum, anus ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Suture Techniques ; Treatment Outcome ; Wound Healing</subject><ispartof>Diseases of the colon & rectum, 2005, Vol.48 (1), p.108-113</ispartof><rights>2005 INIST-CNRS</rights><rights>The American Society of Colon and Rectal Surgeons 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-7df708a489e7c8296a4f3cd2ce9d1b5e94fbd59cc7f1b0bfe85d5c3e8b3d7f173</citedby><cites>FETCH-LOGICAL-c356t-7df708a489e7c8296a4f3cd2ce9d1b5e94fbd59cc7f1b0bfe85d5c3e8b3d7f173</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16915653$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15690666$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>YOU, Seong Y</creatorcontrib><creatorcontrib>KIM, Seung H</creatorcontrib><creatorcontrib>CHUNG, Choon S</creatorcontrib><creatorcontrib>LEE, Dong K</creatorcontrib><title>Open vs. closed hemorrhoidectomy</title><title>Diseases of the colon & rectum</title><addtitle>Dis Colon Rectum</addtitle><description>This prospective, randomized, clinical trial compared the outcome of surgical hemorrhoidectomy by open and closed techniques in terms of postoperative pain, wound healing, and morbidity.
All consecutive patients with Grade III internal hemorrhoids with prominent external components or Grade IV hemorrhoids were randomly allocated to one of two groups. The entire wound was left open in the open group and completely closed using 5-0 chromic sutures in the closed group. Postoperative pain was assessed by a linear analog scale. Additional consumption of oxycodone hydrochloride on the day of surgery and at defecation during the first week was recorded. Patients were followed up 1, 2, and 3 weeks after the procedure.
There were 40 patients in each group. Pain score at recovery from the anesthesia was significantly lower in the closed group (P < 0.05). Altogether, 15 percent of patients in the closed group required additional oxycodone hydrochloride for pain compared to 45 percent in the open group (P < 0.01). The pain score at the first bowel movement was significantly lower in the closed group (P < 0.01). Wound healing was significantly faster in the closed group: 75 percent of patients in the closed group had healed at 3 weeks after the procedure compared to 18 percent in the open group (P < 0.001).
The closed technique is more advantageous with respect to less pain during the early postoperative period and faster wound healing.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia, General</subject><subject>Biological and medical sciences</subject><subject>Defecation</subject><subject>Female</subject><subject>Hemorrhoids - surgery</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pain, Postoperative</subject><subject>Prospective Studies</subject><subject>Stomach, duodenum, intestine, rectum, anus</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Suture Techniques</subject><subject>Treatment Outcome</subject><subject>Wound Healing</subject><issn>0012-3706</issn><issn>1530-0358</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkF1LwzAUhoMobk5_gDdSBL3rPGmapLmU4RcMdqPXIc0H62ibmazC_v0yVhh4dTiH5305PAjdY5hjAP4SMRAKOUCZAxdlzi7QFFOSLoRWl2gKgIuccGATdBPjJq1QAL9GE0yZAMbYFGWrre2zvzjPdOujNdnadj6EtW-M1Tvf7W_RlVNttHfjnKGf97fvxWe-XH18LV6XuSaU7XJuHIdKlZWwXFeFYKp0RJtCW2FwTa0oXW2o0Jo7XEPtbEUN1cRWNTHpxMkMPZ96t8H_DjbuZNdEbdtW9dYPUTJOhMCEJvDxH7jxQ-jTb7LAJdCqICRB-ATp4GMM1sltaDoV9hKDPLqTJ3cyuZNHd5KlzMNYPNSdNefEKCsBTyOgolatC6rXTTxzTCSUEnIAMwV1QQ</recordid><startdate>2005</startdate><enddate>2005</enddate><creator>YOU, Seong Y</creator><creator>KIM, Seung H</creator><creator>CHUNG, Choon S</creator><creator>LEE, Dong K</creator><general>Springer</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>2005</creationdate><title>Open vs. closed hemorrhoidectomy</title><author>YOU, Seong Y ; KIM, Seung H ; CHUNG, Choon S ; LEE, Dong K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-7df708a489e7c8296a4f3cd2ce9d1b5e94fbd59cc7f1b0bfe85d5c3e8b3d7f173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia, General</topic><topic>Biological and medical sciences</topic><topic>Defecation</topic><topic>Female</topic><topic>Hemorrhoids - surgery</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pain, Postoperative</topic><topic>Prospective Studies</topic><topic>Stomach, duodenum, intestine, rectum, anus</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Suture Techniques</topic><topic>Treatment Outcome</topic><topic>Wound Healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>YOU, Seong Y</creatorcontrib><creatorcontrib>KIM, Seung H</creatorcontrib><creatorcontrib>CHUNG, Choon S</creatorcontrib><creatorcontrib>LEE, Dong K</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Diseases of the colon & rectum</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>YOU, Seong Y</au><au>KIM, Seung H</au><au>CHUNG, Choon S</au><au>LEE, Dong K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Open vs. closed hemorrhoidectomy</atitle><jtitle>Diseases of the colon & rectum</jtitle><addtitle>Dis Colon Rectum</addtitle><date>2005</date><risdate>2005</risdate><volume>48</volume><issue>1</issue><spage>108</spage><epage>113</epage><pages>108-113</pages><issn>0012-3706</issn><eissn>1530-0358</eissn><coden>DICRAG</coden><abstract>This prospective, randomized, clinical trial compared the outcome of surgical hemorrhoidectomy by open and closed techniques in terms of postoperative pain, wound healing, and morbidity.
All consecutive patients with Grade III internal hemorrhoids with prominent external components or Grade IV hemorrhoids were randomly allocated to one of two groups. The entire wound was left open in the open group and completely closed using 5-0 chromic sutures in the closed group. Postoperative pain was assessed by a linear analog scale. Additional consumption of oxycodone hydrochloride on the day of surgery and at defecation during the first week was recorded. Patients were followed up 1, 2, and 3 weeks after the procedure.
There were 40 patients in each group. Pain score at recovery from the anesthesia was significantly lower in the closed group (P < 0.05). Altogether, 15 percent of patients in the closed group required additional oxycodone hydrochloride for pain compared to 45 percent in the open group (P < 0.01). The pain score at the first bowel movement was significantly lower in the closed group (P < 0.01). Wound healing was significantly faster in the closed group: 75 percent of patients in the closed group had healed at 3 weeks after the procedure compared to 18 percent in the open group (P < 0.001).
The closed technique is more advantageous with respect to less pain during the early postoperative period and faster wound healing.</abstract><cop>Secaucus, NJ</cop><pub>Springer</pub><pmid>15690666</pmid><doi>10.1007/s10350-004-0794-6</doi><tpages>6</tpages></addata></record> |
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| ispartof | Diseases of the colon & rectum, 2005, Vol.48 (1), p.108-113 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Anesthesia, General Biological and medical sciences Defecation Female Hemorrhoids - surgery Humans Length of Stay Male Medical sciences Middle Aged Pain, Postoperative Prospective Studies Stomach, duodenum, intestine, rectum, anus Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Suture Techniques Treatment Outcome Wound Healing |
| title | Open vs. closed hemorrhoidectomy |
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