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Revista Archivo Médico de Camagüey

On-line version ISSN 1025-0255

Abstract

CERVANTES-PELAEZ, Dayan et al. Characterization of surgical techniques for the treatment of hemorrhoid disease. Arch méd Camagüey [online]. 2023, vol.27  Epub Nov 27, 2023. ISSN 1025-0255.

Introduction:

In the distal section of the anal canal, the presence of "cushion"-like structures, mainly made up of vascular tissue, called hemorrhoid plexuses.

Objective:

To compare the open and closed surgical techniques in hemorrhoid disease in Camagüey province, in the period from January 2021 to January 2023.

Methods:

An observational, analytical, cross-sectional study was carried out. The universe was made up of 135 patients who attended the consultation with the diagnosis of hemorrhoid disease. A simple random sampling was carried out, where 15 patients from each of the groups were taken to form a total sample of 45 patients, each group was treated with a surgical technique.

Results:

In relation to sex, the female sex predominated, the surgical time was given at 30 minutes in the open techniques. Postoperative pain as an immediate complication was significant with the use of the classic Whitehead open technique; there were no mediate complications in this study; while in the late ones, anal stenosis was the one that manifested itself the most.

Conclusions:

There was a predominance of the female sex, the most frequent surgical time was 30 minutes in patients operated with the open technique, in most patients excessive pain was found as an immediate complication with the Milligan-Morgan and classic Whitehead open techniques, but not so with the closed technique of Ferguson. Anal stenosis was the most frequent late surgical complication associated with the classic Whitehead technique.

Keywords : HEMORRHOIDS/surgery; HEMORRHOIDECTOMY; DIAGNOSTIC TECHNIQUES, SURGICAL; OPERATIVE TIME; ANORECTAL MALFORMATIONS.

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