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Year : 2016  |  Volume : 4  |  Issue : 1  |  Page : 1-6

An evaluation of postoperative pain relief in open hemorrhoidectomy with and without lateral sphincterotomy

Department of General Surgery, Father Muller Medical College, Mangalore, Karnataka, India

Correspondence Address:
Aaron Marian Fernandes
Department of General Surgery, Father Muller Medical College, Mangalore - 575 002, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2320-3846.181807

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Background: Hemorrhoids are a common human disease for which the best option available for the surgical management has remained conventional open hemorrhoidectomy. The most common complication of open hemorrhoidectomy is postoperative pain caused by spasm of the internal sphincter. Lateral sphincterotomy is a commonly performed procedure for relieving spasm and pain. Hence, we decided to evaluate whether addition of lateral sphincterotomy along with hemorrhoidectomy can help in the postoperative pain relief. Aim: Comparison of postoperative pain after hemorrhoidectomy with and without lateral internal sphincterotomy. Settings and Design: This was a prospective study conducted between November 2013 and December 2015 on 102 consenting patients who chose conventional open hemorrhoidectomy after obtaining an ethical clearance for the study. Subjects and Methods: The patients were randomized into two groups using the lottery method. Group A in addition to conventional open hemorrhoidectomy received lateral internal sphincterotomy. In Group B, only conventional open hemorrhoidectomy was performed. Pain assessment was done on the day - 0, 1, 2, and 7, respectively, by visual analog scale. Statistical analysis was done using  Chi-squared test (two-tailed) and a P < 0.005 was considered statistically significant. Results: On assessment of pain on the day - 0, 1, 2, and 7, respectively, by visual analog scale; we found statistically significant pain relief in the group whom lateral sphincterotomy was added. Conclusions: In this study, we conclude that in conventional open hemorrhoidectomy for 2 nd degree hemorrhoids addition of lateral sphincterotomy is an effective, convenient, and simple way to reduce the postoperative pain.

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