فهرست نشریات علمی دسترسی آزاد ایران

Background: Today, hospitals and patients are both willing to benefit from outpatient services. Consideringlimits of supply, it seems that there is a need to run productive management in offering health services to preventwasting of supplies and facilities. This study compares the complications caused by hemorrhoidectomy in outpatientand inpatient operations.Methods: In a cross-sectional study during 1.5 years, 208 patients without any background disease were enrolled.They were randomly allocated into two groups (inpatient and outpatient) and interviewed within two weeksafter surgical operations. The data were collected through a questionnaire and physical examination. The complicationsin the two groups of operating theater of hospital and clinic were then compared regarding sex, occupation,education and etc.Results: One week after the surgical operation, the patients in the hospital operating theater showed significantlya better healing recovery of their wound. Other complications such as pain, hemorrhage, infection, inflammation,involuntary emission of feces and gas indicated no significant difference between the two groups. After 2 weeks,more pain was noticed in patients in the operating theaters of the hospital and in clinics, there was more infectionvisible. The hemorrhage, inflammation, wound healing, involuntary emission of feces and gas did not indicate asignificant difference between the operating theater of hospital and the clinic. There was no significant differenceregarding the patients' satisfaction in the two groups.Conclusion: We recommend that for optimized use of supplies and equipments in operating theaters and tolower the cost and shorten queue of patients, grade 2 hemorrhoids are performed in the operating theater ofclinics considering sterilization and safety procedures.