Objective: The aim of this study was to determine the efficacy and safety of Ferguson's technique. Methods: This was prospective study. A total of 65 consecutive patients with grade III and IV hemorrhoids underwent Ferguson hemorrhoidectomy from December 2012 to March 2014 at Can Tho University medicine and pharmacy hospital. Results: There were 57 percent males and 43 percent females. The mean age 41.6 + or - 14.5 years. Forty-three patients (66,2 percent) had third degree and twenty-two (38,8 percent) patients had fourth degree hemorrhoids. The mean time of procedure was 43,0 + or - 14,8 (15-90) minutes. Postoperatively, 78,5 ,percent of patients had minor and mild post-operative .pain; two patients had a relevant hemorrhage (1,8 percent), and one had to undergo reoperation (reoperation rate, 0.9 percent); 10,8 percent of patients needed bladder catheterization because of acute urinary retention; The average duration of hospital stay was 1,18 + or - 0,49 (range, 1 - 4) days. Mortality and wound infection was 0 percent. 27,7 percent of the patient had suture dehiscence. Wound healing is 6 to 8 weeks for suture dehiscence and 4 to 6 weeks for no suture dehiscence. The return to work or normal activity was 9,44 + or - 3,33 days. The 6 month follow-up, none of the patients had recurrent hemorrhoids or anal stenosis. Conclusion: Ferguson procedure represents a good choice for radical treatment of III and IV hemorrhoids grade because it is easy to perform, has few complication and provides satisfying results.
Lọc theo danh mục
Lượt truy cập :
30,275,142
Xem toàn văn