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Comparative Studies | General Surgery | India | Volume 13 Issue 4, April 2024 | Popularity: 5.3 / 10

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Study of Open Hemorrhoidectomy Versus Open Hemorrhoidectomy Along with Internal Sphincterotomy in the Management of Post - Operative Pain

Dr. Rajeswari Rayapati, Dr. R. Ashok Reddy, Dr. G. Rajasekhara Babu

Abstract: Objective: To compare short term outcome of post - operative pain in patients operated for hemorrhoidectomy alone and hemorrhoidectomy along with internal sphincterotomy. Study design: Prospective comparative clinical study. Source of sample: Patients admitted in the surgical ward of all units of GREAT EASTERN MEDICAL SCHOOL & HOSPITAL who undergo open hemorrhoidectomy. Study period: January 2023 to February 2024. Methodology: 60 patients were divided in to two groups by using a random sampling technique. Group A underwent Milligan & Morgan open hemorrhoidectomy where as Group B was operated for Milligan & Morgan open hemorrhoidectomy with Lateral internal sphincterotomy. Post operatively, using the visual analog scale (VAS), pain will be assessed from 12 hour, 24 hours, and 48 hours after surgery. Postoperative bleeding and urine retention were noted. Regular follow - up will be done on the 7th day, 1 month, and 3 months after the surgery. Results: Patients who underwent LIS showed a significant reduction in post operative pain at 12 hours (p= 0.0006), 24 hours (p= 0.0085), 48 hours after surgery (p=0.0098); the time taken to request rescue analgesia was significantly lower after LIS (p= 0.045). Side effects such as Post operative bleeding was similar between the two groups. Need for bladder catheterization to drain urine was significantly lower in patients who underwent LIS (p= 0.0016). Post operatively, return to work & Hospital stay are assessed in all the patients with other complications. The difference between the both groups was significant i. e. p < 0.05. Conclusion: Lateral internal sphincterotomy combined with hemorrhoidectomy significantly reduces the post operative pain without increasing morbidity.

Keywords: Hemorrhoids, lateral internal sphincterotomy, open hemorrhoidectomy, post operative pain

Edition: Volume 13 Issue 4, April 2024

Pages: 1448 - 1452

DOI: https://www.doi.org/10.21275/MR24419210819

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