Title: To evaluate the effectiveness of lateral sphincterotomy with haemorrhoidectomy in post operative haemorrhoidectomy pain and wound healing
Authors: Dr P. Hima Bindu, Dr K. Spoorthy
DOI: https://dx.doi.org/10.18535/jmscr/v7i8.32
Abstract
Introduction
Hemorrhoids are normal vascular structures in the anal canal. However, they are often the source of a variety of problems. The cardinal features of hemorrhoidal disease include bleeding, anal pruritus, prolapse, and pain due to thrombosis.
The incidence of haemorrhoids increases with age and it seems likely that at least 50% of people over the age of 50years have some degree of haemorrhoid formation. Men seem to be affected roughly twice as frequently as women.
Every therapeutic modality has advantage and disadvantage. Pain after haemorrhoid surgery remains one of the most important patient complaints. our study is aimed to evaluate the role of lateral sphincterotomy along with haemorrhoidectomy in reducing the post operative pain and related complications.[6]
Aims & Objectives
To evaluate the role of lateral sphincterotomy along with haemorrhoidectomy with respect to, pain relief, urinary retention, comfort of defecation, continence, healing of wound of haemorrhoids.
References
- Galizia G, Lieto E, Castellano P, Pelosio L, Imperatore V and Pignatelli C. Lateral internal sphincterotomy together with hemorrhoidectomy for treatment of haemorrhoids: a randomised prospective study. European Journal of Surgery, 2000; 21:127-34
- Chen W S, Leu S Y and Wang, F M. The roles of haemorrhoidectomy and lateral internal sphincterotomy in the treatment of haemorrhoids- clinical and manometric study,1989 Apr;43:255-60
- Routine Internal Sphincterotomy IJGE Issue 4 V ol 1 2003 Surgery . Surgery of the colon, Rectum & Anus. Fifth Butterworth Heinemann Ltd, 1993; 789-796.
- Safwan A.Taha. A New modification for closure of haemorrhoidectomy wounds. Basrah J Surg., March, 7, 2001; 2
- Kanellos, Zacharakis E, Christoforidis E, Angelopoulos S, Kanellos D, Pramateftakis MG, et al. Usefulness of lateral internal sphincterotomy in reducing postoperative pain after open haemorroidectomy. World J Surg 2005:29:464-8.
- Corno F, Muratore A, Mistrangelo M, Nigre I, Capuzzi Complications of the surgical treatment of haemorrhoids and it's therapy. Ann Ital Chir 1995; 66(6): 813.
- 405Archives of Iranian Medicine, Volume 10, Number 4, October 2007
- Das DK, Choudhury UC,Lim ZS. Effectiveness of internal sphinterotomy in reducing post open haemorriodectomy pain: A randomized comparative clinical study.int J Collab Res Intern Med Public Health 2013;5:428-33.
- Diana G, Guercio G, Cudia B ,Ricotta C. Internal sphincterotomy reduces postoperative pain after milligan morghan haemorroidectomy.BMC Surg 2009;9:16