A Comparative Study to Compare the incidence of Post-Operative Pain in Patients Undergoing Haemorrhoidectomy with Lateral Sphincterotomy Vs. Haemorrhoidectomy without Lateral Sphincterotomy

Avanish Kumar Saxena; Amrita Gupta; Amrita Gupta; Pulkit Agarwal; Sandeep Mangla

Avanish Kumar Saxena Prof. and Head, Deptt. of Surgery, F H Medical College,
Amrita Gupta Astt. Proff. Dept. of Anaesthesia, S N Medical College, Agra.
Amrita Gupta PG Student, Deptt. of Surgery S N Medical College, Agra.
Pulkit Agarwal PG Student, Deptt of Anaesthesia, S N Medical College, Agra.
Sandeep Mangla Senior Resident, Deptt of Anasthesia, AIIMS, Delhi.

Keywords: Haemorrhoidectomy, Post-operative Pain, lateral sphincterotomy.

Abstract

Background: Haemorrhoids are common pathology of anal canal. Over the last few years, because of new surgical techniques, increased attention has been laid on Surgical Management of hemorrhoids, still open Haemorrhoidectomy remains the mainstay of treatment. Postoperative pain is one of the most common complications of open Haemorrhoidectomy. In our study we decided to compare the incidence of postoperative pain in open Haemorrhoidectomy with or without lateral sphincterotomy.

Methods: To compare the incidence of post-operative pain in patient of open Haemorrhoidectomy with lateral sphincterotomy versus open Haemorrhoidectomy without lateral sphincterotomy. Results: In our study group A in which open Haemorrhoidectomy along with lateral sphincterotomy was done had statistically significant less postoperative pain at 6 hours and 24 hours postoperatively and on postoperative day 7 at the time of follow up with Chi square test (P<0.0001).

Conclusion: Addition of lateral sphincterotomy decreased post-operative pain and also reduced the need for post-operative analgesia in a significant number of patients. Hence through this study, we concluded that in conventional open Haemorrhoidectomy, addition of lateral sphincterotomy is an effective, convenient, and simple way to reduce post-operative pain.

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