Original Articles
Assessment of cases of haemorrhoids | |
Dr. Shashank Mittal | |
Background: Anal cushions lining the anal canal experience aberrant engorgement of the arteriovenous plexus in hemorrhoids. The present study was conducted to assess cases of hemorrhoids. Materials & Methods: 75 patients with hemorrhoids of both genderswere recruited. Types and degrees of haemorrhoids, risk factors, clinical manifestations, grades, associated co-morbidities, methods used for diagnosis, management practices, and outcome of management was noted. Results: Out of 75 patients, males were 40 and females were 35. Symptoms were bleeding through rectum in 35, soiling of clothes in 51, pruritus in 28, mass through rectum in 13 and pain during defecation in 8 patients. Type of haemorrhoid was internal in 56, external in 12 and both in 7 cases. Type of internal haemorrhoid was vascular in 47 and mucosal in 9 cases. Degree of hemorrhoidswas first degree in 8, second degree in 26, third degree in 30 and fourth degree in 11 cases. Conservative procedures used was warm sitz bath in 15, manual anal dilatation in 6 and soap water enema in 4 cases. Surgical procedures done was closed haemorrhoidectomy in 30, open haemorrhoidectomy in 12, LASER haemorrhoidectomy in 10 and electro cautery in 3 cases. The difference was significant (P< 0.05). Conclusion: Maximum cases were of internal hemorrhoids. Most of cases underwent closed haemorrhoidectomy. |
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