关键词: Myrrh hemorrhoidectomy perianal fistula postoperative standard care wound healing

来  源:   DOI:10.1002/hsr2.2192   PDF(Pubmed)

Abstract:
UNASSIGNED: Hemorrhoids affect 75% of people worldwide. surgical hemorrhoidectomy remains the definitive intervention for severe cases. Postoperative wound care is critical, and alternative treatments, like Myrrh, are of growing interest due to their potential wound-healing properties. This study aimed to compare the safety, efficacy, and treatment outcomes of Myrrh sitz baths with standard clinical care in promoting wound healing after hemorrhoidectomy.
UNASSIGNED: A retrospective cohort study was carried out using medical records from Abha Private Hospital for the period of January-December 2022. The data of patients who underwent hemorrhoidectomy were collected and categorized based on postoperative wound care into two groups: Group A for Myrrh-based wound care as a self-medication and Group B for standard wound care.
UNASSIGNED: The study included 67 patients who underwent hemorrhoidectomy. Out of these patients, 52 had standard wound care, while 15 used Myrrh-based wound care as self-treatment without medical advice. The Myrrh group patients were significantly older with more comorbidities. The Myrrh group had significant Grade III wound healing outcomes 9/15 (60%) compared to the standard care group 2/52 (3.8%) (p < 0.001). However, despite the better healing outcomes, the Myrrh group had a significantly higher complication rate 7/15(46.7%) than the standard care group 1/52 (1.9%) (p < 0.001). These results indicate that despite the good healing capacity of Myrrh, cautious usage must be considered.
UNASSIGNED: Myrrh sitz baths appear more effective than standard wound care in enhancing healing after hemorrhoidectomy. However, increased complications suggest the necessity for comprehensive evaluation and research on its safety profile. These findings can guide future research and clinical practices related to postoperative wound care.
摘要:
痔疮影响全球75%的人。外科痔疮切除术仍然是严重病例的决定性干预措施。术后伤口护理至关重要,和替代疗法,像没药一样,由于其潜在的伤口愈合特性,人们越来越感兴趣。本研究旨在比较安全性,功效,以及采用标准临床护理的没药坐浴促进痔切除术后伤口愈合的治疗结果。
使用Abha私立医院的病历进行了2022年1月至12月的回顾性队列研究。收集接受痔疮切除术的患者的数据,并根据术后伤口护理分为两组:A组,基于没药的伤口护理作为自我药物治疗,B组,用于标准伤口护理。
该研究包括67例接受痔疮切除术的患者。在这些病人中,52人接受了标准的伤口护理,而15则在没有医疗建议的情况下使用基于没药的伤口护理作为自我治疗。没药组患者明显年龄较大,合并症较多。与标准护理组2/52(3.8%)相比,Myrrh组具有显著的III级伤口愈合结果9/15(60%)(p<0.001)。然而,尽管治疗效果更好,Myrrh组的并发症发生率7/15(46.7%)显著高于标准治疗组1/52(1.9%)(p<0.001).这些结果表明,尽管没药有很好的愈合能力,必须谨慎使用。
没药坐浴在促进痔疮切除术后愈合方面比标准伤口护理更有效。然而,并发症的增加表明有必要对其安全性进行综合评估和研究。这些发现可以指导与术后伤口护理相关的未来研究和临床实践。
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