DOI: 10.21276/sasjs.2019.5.4.3

Pages: 207-211

Background: Treatment of thrombosed haemorrhoids was mainly depending on surgery (thrombectomy) and reduction with evidence morbidity and recurrence rates. Patients and methods: This study is descriptive crosssectional hospital-based study, conducted in Omdurman Teaching Hospital during period from November 2017 to December 2018. Data were collected by standardized questionnaire and analyzed by using SPSS version 20. Results: Sixty patients satisfied the requirement inclusion criteria were included in the study .The majority of the patients were males ( 53.3%) and most frequent age group were less than 30 (48.3%) years old, ranging from 16 to 56 years with mean age 32.2 ±9.3SD. Almost all patients presented with pain and swelling. Ninety percent had swelling less than 5cm. Most of patient develop complications from the surgery, majority develop post operative pain (36.7%), the bleeding was dominant post surgery compared to GTN (28.33%) in day 1 P value 0.015 and 18% on first week P value 0.001.Infection was only found post surgery as patients required antibiotics and dressing P value 0.038 .Few patients develop late recurrence (6.7%) post surgery mainly in second and third month follow up. In GTN usage less pain and bleeding but slightly higher numbers of patients develop dizziness (8.33%) in day 1 .Overall GTN user had higher rates without complications through all the 3 months follow up period P value 0.010.Conclusion: The GTN usage is safe, simple, effective and less morbidity than surgery. The study comes out with recommendations like increase the use of GTN instead of surgery and aware the population about the morbidity of surgery.