TY - JOUR
T1 - THE MANAGEMENT OF POSTOPERATIVE PAIN AFTER HEMORRHOIDECTOMY: ANALYSIS OF THREE METHODICS
AU - Gioviale, Maria Concetta
AU - Lo Monte, Attilio Ignazio
AU - Damiano, Giuseppe
AU - Palumbo, Vincenzo Davide
AU - Tomasello, Giovanni
AU - Randazzo, Stefania
AU - Spinelli, Gabriele
AU - Ficarella, Silvia
PY - 2012
Y1 - 2012
N2 - Postoperative pain is one of the most common and disabling complications following hemorrhoidectomy. This study divided atotal of 90 patients, undergone Milligan and Morgan hemorrhoidectomy, in three groups of 30 patient: Group A, undergone internalsphincterotomy after hemorrhoidectomy; Group B, treated with Diosmin 500 mg; Group C, treated with Paracetamol 1000 mg whenrequired. The analysis of the median VAS score (Visual Analogic Scale) of postoperative pain, in every group pointed out a relationshipbetween postoperative pain reduction and time at the three set checkpoints (1st, 3rd, 9th postoperative day) (R2= 0.9231 forGroup A; R2= 0.9423 for group B; R2= 0.9423 for group C). Mean VAS scores have been worked out for the three checkpoints andwe 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 postoperativepain, both the 1st, the 3rd and the 9th postoperative day.
AB - Postoperative pain is one of the most common and disabling complications following hemorrhoidectomy. This study divided atotal of 90 patients, undergone Milligan and Morgan hemorrhoidectomy, in three groups of 30 patient: Group A, undergone internalsphincterotomy after hemorrhoidectomy; Group B, treated with Diosmin 500 mg; Group C, treated with Paracetamol 1000 mg whenrequired. The analysis of the median VAS score (Visual Analogic Scale) of postoperative pain, in every group pointed out a relationshipbetween postoperative pain reduction and time at the three set checkpoints (1st, 3rd, 9th postoperative day) (R2= 0.9231 forGroup A; R2= 0.9423 for group B; R2= 0.9423 for group C). Mean VAS scores have been worked out for the three checkpoints andwe 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 postoperativepain, both the 1st, the 3rd and the 9th postoperative day.
UR - http://hdl.handle.net/10447/67631
M3 - Article
SN - 0393-6384
VL - 28
SP - 301
EP - 304
JO - Acta Medica Mediterranea
JF - Acta Medica Mediterranea
ER -