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A Prospective Study to Assess the Post-Operative Pain in Haemorrhoidectomy with or without Lateral Sphincterotomy

S. G. Gireboinwad, Associate Professor, Department of General Surgery, SRTR Medical College, Ambajogai- 431517, District- Beed, Maharashtra, India. , N.N. Chate* , S.G. Gireboinwad* , G.K. Kharkate** , R.R. Gayke** , V.S. Dhawali** , S.Y. Dange***

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New Indian Journal of Surgery 8(2):p 82-86, April - June 2017. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8217.14

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Abstract

 Aim: To assess the post-operative pain in patients presenting with haemorrhoids and undergo haemorrhoidectomy with or without lateral sphincterotomy.

Background: Haemorrhoids, a common and painful condition, are the most prevalent ano-rectal disorder among adults. Haemorrhoids, and their treatment, have been a subject of consideration and discussion in the medical literature, from the beginning of documentation of human diseases. Pain after hemorrhoidectomy is universal [1].Postoperative pain following haemorrhoidectomy is a major concern now a days and its management has taken centre stage.

Material and Methods: The present study was carried In the Department of Surgery at Swami Ramanand Teerth Medical College, Maharashtra from Nov 2013 to Nov 2015. The postoperative pain in patients with hemorrhoids &undergo either haemorrhoidectomy with lateral  sphincterotomy (GROUP A) or haemorrhoidectomy without lateral sphincterotomy (GROUP B) was recorded using Visual analogue scoring (VAS).Data was compared using appropriate tests.

Results: Total 60 patients were included in the study. (30 in each group). Maximum were above 30 years of age. Almost half were male and female in both groups. Maximum patients were belonging to type III degree of haemorrhoids. The main objective was to assess the postoperative pain among patient using Visual Analogue Scale after 48hours, 1 week, 4 weeks, and after 3 months of surgery in both groups. There was no significant difference among study participants regarding frequency of pain in both groups. At the end of study 16 patients in group A and 17 patients in group B were completely pain free (p value> 0 .05).

Conclusion: The addition of lateral sphincterotomy to open haemorrhoidectomy seems to have a positive effect on reducing the postoperative pain in a few patients though not statistical significant.

 

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8217.14

Keywords

Sphincterotomy Haemorrhoidectomy; Visual Analogue Scoring; Hemorrhoids.

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