Short-Term Complications of Hemorrhoidectomy in Outpatient and Inpatient Operations in Shiraz, Southern Iran

AUTHORS

A Keshtkaran 1 , SV Hosseini 2 , * , L Mohammadinia 1

1 School of Management and Information Science, Shiraz University of Medical Sciences, Fars, Iran

2 Professor of Laparascopy Research Center, And Stem Cell and Transgenic Technology Research Center, Shiraz University of Medical Sciences, [email protected], Fars, Iran

How to Cite: Keshtkaran A, Hosseini S, Mohammadinia L. Short-Term Complications of Hemorrhoidectomy in Outpatient and Inpatient Operations in Shiraz, Southern Iran, Iran Red Crescent Med J. Online ahead of Print ; 13(4):267-271.

ARTICLE INFORMATION

Iranian Red Crescent Medical Journal: 13 (4); 267-271
Article Type: Brief Report
Received: June 20, 2010
Accepted: October 18, 2010

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Abstract

Background: Today, hospitals and patients are both willing to benefit from outpatient services. Considering limits of supply, it seems that there is a need to run productive management in offering health services to prevent wasting of supplies and facilities. This study compares the complications caused by hemorrhoidectomy in outpatient and inpatient operations.

Methods: In a cross-sectional study during 1.5 years, 208 patients without any background disease were enrolled. They were randomly allocated into two groups (inpatient and outpatient) and interviewed within two weeks after surgical operations. The data were collected through a questionnaire and physical examination. The complications in the two groups of operating theater of hospital and clinic were then compared regarding sex, occupation, education and etc.

Results: One week after the surgical operation, the patients in the hospital operating theater showed significantly a better healing recovery of their wound. Other complications such as pain, hemorrhage, infection, inflammation, involuntary emission of feces and gas indicated no significant difference between the two groups. After 2 weeks, more pain was noticed in patients in the operating theaters of the hospital and in clinics, there was more infection visible. The hemorrhage, inflammation, wound healing, involuntary emission of feces and gas did not indicate a significant difference between the operating theater of hospital and the clinic. There was no significant difference regarding the patients' satisfaction in the two groups.

Conclusion: We recommend that for optimized use of supplies and equipments in operating theaters and to lower the cost and shorten queue of patients, grade 2 hemorrhoids are performed in the operating theater of clinics considering sterilization and safety procedures. 

Keywords

Complications Hemorrhoidectomy Hospitalization Outpatient Inpatient

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