Postoperative pain is one of the most common and disabling complications following hemorrhoidectomy. This study divided a total of 90 patients, undergone Milligan and Morgan hemorrhoidectomy, in three groups of 30 patient: Group A, undergone internal sphincterotomy after hemorrhoidectomy; Group B, treated with Diosmin 500 mg; Group C, treated with Paracetamol 1000 mg when required. The analysis of the median VAS score (Visual Analogic Scale) of postoperative pain, in every group pointed out a relationship between postoperative pain reduction and time at the three set checkpoints (1st, 3rd, 9th postoperative day) (R2= 0.9231 for Group A; R2= 0.9423 for group B; R2= 0.9423 for group C). Mean VAS scores have been worked out for the three checkpoints and we compared the results between the three groups. Conclusions: in our study, internal sphincterotomy was the only therapeutic choice able to reduce most of the others the postoperative pain, both the 1st, the 3rd and the 9th postoperative day.

DE LUCA, S., TOMASELLO, G., DAMIANO, G., PALUMBO, V.D., SPINELLI, G., GIOVIALE, M.C., et al. (2012). THE MANAGEMENT OF POSTOPERATIVE PAIN AFTER HEMORRHOIDECTOMY: ANALYSIS OF THREE METHODICS. ACTA MEDICA MEDITERRANEA, 28, 301-304.

THE MANAGEMENT OF POSTOPERATIVE PAIN AFTER HEMORRHOIDECTOMY: ANALYSIS OF THREE METHODICS

TOMASELLO, Giovanni;DAMIANO, Giuseppe;PALUMBO, Vincenzo Davide;SPINELLI, Gabriele;GIOVIALE, Maria Concetta;RANDAZZO, Stefania;FICARELLA, Silvia;LO MONTE, Attilio Ignazio
2012-01-01

Abstract

Postoperative pain is one of the most common and disabling complications following hemorrhoidectomy. This study divided a total of 90 patients, undergone Milligan and Morgan hemorrhoidectomy, in three groups of 30 patient: Group A, undergone internal sphincterotomy after hemorrhoidectomy; Group B, treated with Diosmin 500 mg; Group C, treated with Paracetamol 1000 mg when required. The analysis of the median VAS score (Visual Analogic Scale) of postoperative pain, in every group pointed out a relationship between postoperative pain reduction and time at the three set checkpoints (1st, 3rd, 9th postoperative day) (R2= 0.9231 for Group A; R2= 0.9423 for group B; R2= 0.9423 for group C). Mean VAS scores have been worked out for the three checkpoints and we compared the results between the three groups. Conclusions: in our study, internal sphincterotomy was the only therapeutic choice able to reduce most of the others the postoperative pain, both the 1st, the 3rd and the 9th postoperative day.
Settore MED/18 - Chirurgia Generale
DE LUCA, S., TOMASELLO, G., DAMIANO, G., PALUMBO, V.D., SPINELLI, G., GIOVIALE, M.C., et al. (2012). THE MANAGEMENT OF POSTOPERATIVE PAIN AFTER HEMORRHOIDECTOMY: ANALYSIS OF THREE METHODICS. ACTA MEDICA MEDITERRANEA, 28, 301-304.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10447/67631
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