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Investigating the effect of internal sphincterotomy on wound healing and postoperative pain after open hemorrhoidectomy
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| Author:
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SETAREH SOLTANY, ABOLFAZL ABDOLAHPOUR , ENAIATOLAH GHOLAMALIAN
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| Abstract:
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Introduction: Hemorrhoidectomy is one of the most common treatments for progressed hemorrhoids. Bleeding
and pain are one of the major complications of this procedure which may be due to complex innervation of
anorectal region. Therefore, to reduce the effects of internal anal sphincter contraction with hemorrhoidectomy, a
sphincterotomy is also performed, but the effects of the sphincterotomy in this operation have not yet been fully
established. Materials and Methods: In this study, 112 patients were divided into two groups of hemorrhoidectomy
without sphincterotomy and hemorrhoidectomy with sphincterotomy. After surgery, they were evaluated for pain
and duration of wound healing. Pain, duration of wound healing and postoperative bleeding and need for opioid
analgesicswere statistically evaluated. Results: The mean pain score was 5.21±0.94 in the case group and 7±1.57 in
the control group which was significantly lower than the control group. Patients who had sphincterotomy as well
had a mean recovery time of 0.78±0.68 weeks compared to the control group with a mean recovery time of
1.5±0.83 weeks, but it was not statistically significant. In addition, patients who did not undergo sphincterotomy
needed 3 times more opioid analgesics. Conclusion: The present study shows that performing internal
sphincterotomy simultaneously with hemorrhoidectomy is a safe and useful operation, whereby the patients not
only experience less postoperative pain but also need less opioid analgesics.
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| Keyword:
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Sphincterotomy, Open Hemorrhoidectomy, Wound Healing and Pain
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| EOI:
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| DOI:
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