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Management of hemorrhoids with various approaches: our experience

Author: 
Dr. Nishikant Gujar, Dr. Vijay Shivpuje, Dr. Shiraz Ahamed Sharief and Dr. Vijay, N.
Subject Area: 
Health Sciences
Abstract: 

Genetic Hemorrhoids is very common Ano-Rectal condition with high prevalence and there are large number of treatment modality available to treat this frequently occurring condition Materials and Method: This prospective was carried out in department of surgery Al-Ameen medical college bijapur from 2006 to 2016. It includes 400 patients of haemorrhoids treated with different modality of treatment (injectionsclerotherapy, rubber band ligation, ligation and excision hemorrhoidectomy and circular stapelerhemorrhoidectomy). Results: 80% Group 'A' patients had mild pain postoperatively lasting for 1 day, RBL group had moderate pain in 76% lasting for 2-3 days. 80% Group 'C' patients had moderate pain for 2-3 days where as 70% patients in group 'D' had only mild pain for < 3 days. Retention of urine was seen in 33.3% of Group 'C' patients. Painful bowel action was seen in 66.7% of ligation and excision group. Most of the patients in INJ and RBL group went home on same day. In excision and ligation group patients stayed for 2-5 days and average of 1 day in stapled group. At 6 months follow up bleeding was seen in 33.3% of patients in Group 'A', 19% of patients in group 'B'. Prolapse was seen in 5.5% of patients in group 'A', 9.5% of patients of group 'B'. At one year follow up 40%, 25% and 8% of patients in group 'A', group 'B' and group 'C' respectively had bleeding. Prolapse was present in 10%, 16.7% and 8% of group 'A', 'B' and C respectively. CONCLUSION: Injection sclerotherapy and rubber band ligation to be the first option in the treatment of hemorrhoids, later if necessary by operative procedure.

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