Comparitive Study of Post Operative Pain Analysis in Cases of Haemorrhoidectomy without Lateral Sphincterotomy And Haemorrhoidectomy with Lateral Sphincterotomy
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 9
Abstract
Aim: Asses the post-operative pain in patients presenting with haemorrhoids and undergo either haemorrhoidectomy with lateral sphincterotomy or haemorrhoidectomy without lateral sphincterotomy. Methods: Patients who satisfy the inclusion criteria are taken up for surgery after history taking , meticulous physical examination such as per rectal and anal speculum examination [proctoscopy] and appropriate serological investigations. 50% of the cases undergo open haemorrhoidectomy without lateral sphincterotomy and other 50% of the cases undergo open haemorrhoidectomy with lateral sphincterotomy. Data documented are the post operative pain in the first 48 hours. Results: After one month 72.5% of the patients did not have any post operative complications. Only 27.46% presented with post operative complications most commonly being pain. The number of patients who suffered from post operative pain decreased significantly when performing lateral sphincterotomy going down from 28.8% to 10.45%. Conclusion: Lateral anal sphincterotomy reduces significantly pain only in the first post operative period. It significantly reduces the post haemorrhoidectomy pain and can reduce the use of analgesics. It does not have any influences on the incidence of urinary retention and bleeding after first defeacation and does not increase the risk of fecal and gas incontinence in comparison with the other group.
Authors and Affiliations
Dr. V. S Venkatesan, Dr. M. Anto
Keywords
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- EP ID EP255987
- DOI 10.9790/0853-1609038789
- Views 73
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