title: Role of prophylactic antibiotics in Milligan Morgan hemorrhoidectomy - a randomized control trial.
abstract: OBJECTIVE
  Role of prophylactic antibiotics in Milligan Morgan hemorrhoidectomy - A prospective, randomized control trial.
  
  
  METHODS
  Randomized control trial.
  
  
  METHODS
  Combined Military Hospital Malir, Bannu and HIT hospital Taxilla, September 2008 to February 2011.
  
  
  METHODS
  Patients undergoing Milligan Morgan hemorrhoidectomy for grade III and IV hemorrhoids were randomized in 2 groups by using computer generated table. Group A did not receive any prophylactic antibiotic whereas group B received 500 mg I/V metronidazole and 1 g Ceftriaxone I/V before induction of anesthesia. All the patients had standardized post operative care. Pain scores on 100 mm Visual Analogue Scale and consumption of oral analgesics were noted from 1st to 7th post operative day. Time required for complete healing was also noted. Data was entered on SPSS 16.0 and p value was calculated.
  
  
  RESULTS
  Out of 100 patients, 96 patients (47 in group A and 49 in group B) completed the study. Demographical data was comparable in both the groups. There was no difference in the pain scores, analgesic consumption and rate of healing between both the groups.
  
  
  CONCLUSIONS
  Prophylactic antibiotics have got no role in cases of Milligan Morgan hemorrhoidectomy.
authors.affiliation: Buraidah Central Hospital, Buraidah, Al-Qaseem, Saudi Arabia. Electronic address: khizarikhan@yahoo.com.
authors.forename: Khizar Ishtiaque
authors.initials: KI
authors.lastname: Khan
authors.affiliation: CMH Kharian, Pakistan. Electronic address: drakmal_u@yahoo.com.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Akmal
authors.affiliation: HIT Hospital Taxilla, Pakistan. Electronic address: awaqas74@gmail.com.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Waqas
authors.affiliation: CMH Malir, Pakistan. Electronic address: tipu1857@gmail.com.
authors.forename: Shahid
authors.initials: S
authors.lastname: Mahmood
mesh_terms: D000328:Adult; D000700:Analgesics / Q000008:administration & dosage; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D019072:Antibiotic Prophylaxis / Q000379:methods*; D002443:Ceftriaxone / Q000008:administration & dosage*; D005260:Female; D061865:Hemorrhoidectomy / Q000379:methods*; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008297:Male; D008795:Metronidazole / Q000008:administration & dosage*; D008875:Middle Aged; D010147:Pain Measurement; D011182:Postoperative Care; D011446:Prospective Studies; D014945:Wound Healing; D055815:Young Adult
chemical_list: D000700:Analgesics; D000900:Anti-Bacterial Agents; D008795:Metronidazole; D002443:Ceftriaxone
keywords: Hemorrhoidectomy; Hemorrhoids; Milligan–Morgan