dc.contributor.author | Oigara, Raymond O | |
dc.date.accessioned | 2013-05-24T07:03:23Z | |
dc.date.available | 2013-05-24T07:03:23Z | |
dc.date.issued | 2003 | |
dc.identifier.citation | Masters of Medicine (Surgery) | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/25126 | |
dc.description.abstract | This study was carried out at Kenyatta National Hospital where the records of a total of
133 patients with haemorrhoidal disease were reviewed. There was a total of 8765.4%
males and 46 female 34.6% patients representing a male preponderance with a ratio of
2:1.
The majority of patients were in the active age group of 20-39 years and the mean age
was 37 years. Anal fissure and HIV disease were the two conditions most commonly
associated with the haemorrhoids at a rate of 35.3% and 26.3% respectively ..
Proctoscopic examination was done in 79.9% of all patients with haemorrhoids. As
proctoscopy is a gold standard examination procedure in the diagnosis of haemorrhoids.
this was an obvious shortcoming on the clinical assessment. The most common stage at
presentation "vas third degree haemorrhoids at 62.7%.
The mean duration of illness on presentation was one (1) year with the main symptoms
being pain. prolapse and bleeding accounting for 92.5%, 91% and 82.7% respectively.
Thrombosis was the commonest encountered complication at presentation accounting for
44.2%. followed by bleeding at 36.5% and ulceration at 25%.
Haemorrhoidectorny was the commonest interventional method used for treatment
representing 86% of all interventional methods. Less demanding outpatient procedures
such us rubber band ligation were not carried out over the period 1990 to 1999 in
Kenyatta National Hospital. Sclerotherapy, a cost effective mode of interventional
therapy is rarely carried out being perforned in only 11.9% in this study,
Pain was the most frequent early complication of treatment accounting for 70.4%, while
recurrence was the most frequent late complication54.8%. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi | en |
dc.title | The presentation, management and outcome of haemorrhoids as seen in Kenyatta National Hospital General Surgery Unit 1990-1999 | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | School of Medicine | en |