Alp Yildiz
Yildirim Beyazit University, Turkey
Title: Effect of oxidized regenerated cellulose application on post-trombectomy bleeding and pain
Biography
Biography: Alp Yildiz
Abstract
Yildirim Beyazit University Yenimahalle Training and Research Hospital Ankara/Turkey. The aim of this study was to evaluate the effect of oxidized regenerated cellulose application on postoperative bleeding and pain after trombectomy for external trombosed hemorrhoids. After excluding patients with hemorrhagic disorder, chronic disease, and perianal abscess, trombectomy performed. After cleaning the area an elliptical incision made in the roof of the hemorrhoid, taking care to avoid the anal sphincter muscle and the incision directed radially from the anal orifice. After the thrombosed hemorrhoid unroofed, clot has removed and in Group-1 the cavity packed with Oxidized regerated cellulose(Oxicel ® Betatech Medical, Istanbul/Turkey), in Group-2 electrocauterised for hemostasis. The bleeding time and Pain was evaluated every day for 3 days postoperatively, and 10th day after the procedure. Secondary bleeding was reported at any time. A total of 21 patients in Group-1 (13 males, 8 females) between the ages of 24 and 54 years (mean age 43.46 ± 4.98) , a total of 14 patients in Group-2 (9 males, 5 females) (mean age 41.16 ± 3.75) were included in the study. Mean bleeding time showed no statistically significant difference between groups(p>0.05) The average pain score was greater in Group 2 than in Group 1 on each postoperative day (p < 0.05). Secondary bleeding was observed in 2 patients from Group-2. Oxicel application decreased pain levels while effectively controlling bleeding incidence during operation and the postoperative period.