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

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Abstract

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.
Lingua originaleEnglish
pagine (da-a)301-304
Numero di pagine4
RivistaActa Medica Mediterranea
Volume28
Stato di pubblicazionePublished - 2012

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  • Medicine(all)

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