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Factors affecting the postoperative healing in ferguson technique for hemorrhoidectomy

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Objectives: To study several factors affecting the postoperative healing with Ferguson technique for hemorrhoidectomy. Subjects and methods: 190 patients with third-degree and fourth-degree hemorrhoids underwent the Ferguson procedures at Vietnam-Germany Hospital from 01 Sep 2012 to 31 Dec 2013. | Journal of military pharmaco-medicine no2-2018 FACTORS AFFECTING THE POSTOPERATIVE HEALING IN FERGUSON TECHNIQUE FOR HEMORRHOIDECTOMY Phan Sy Thanh Ha*; Tran Minh Dao* Nguyen Xuan Hung*; Nguyen Van Xuyen** SUMMARY Objectives: To study several factors affecting the postoperative healing with Ferguson technique for hemorrhoidectomy. Subjects and methods: 190 patients with third-degree and fourth-degree hemorrhoids underwent the Ferguson procedures at Vietnam-Germany Hospital from 01 Sep 2012 to 31 Dec 2013. Results: 82.1% had the incision wound healed in phase 1 and 17.9% in phase 2. There was a correlation between the duration of healing and the form of feces at the first postoperative bowel movement (p 0.05). Conclusion: Ferguson technique for hemorrhoidectomy is safe with good treatment outcome, rapid healing, simple postoperative care and patients soon return to normal life and work. * Keywords: Hemorrhoids; Ferguson technique; Postoperative healing. INTRODUCTION There are many methods of treatment for hemorrhoids, including adjustment of diets and sanitary care, procedure, surgery, oriental medicine, occidental medicine or combination of oriental and occidental medicine. Surgical methods aim to cure hemorrhoids completely. The Ferguson procedure was introduced in 1959 as an improvement of the Milligan-Morgan procedure and has been widely applied in the United States [1]. The method is the most commonly indicated for hemorrhoids for its ability of good bleeding control, simple postoperative care, rapid healing, early return to normal life and work. Some surgeons are still cautious to choose this method as the closure of skin and rectal mucous membranes by suturing may cause postoperative abscesses and infections. In 2010, the first report by Nguyen Xuan Hung showed that Ferguson procedure was safe and effective with simple postoperative care so it should be applied [2]. Some brief reports on this procedure were also available but they failed to clarify the .