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VINCENZO DAVIDE PALUMBO

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

  • Autori: DE LUCA, S.; Tomasello, G.; Damiano, G.; Palumbo, V.; Spinelli, G.; Gioviale, M.; Accardo, F.; Randazzo, S.; Ficarella, S.; LO MONTE, A.
  • Anno di pubblicazione: 2012
  • Tipologia: Articolo in rivista (Articolo in rivista)
  • OA Link: http://hdl.handle.net/10447/67631

Abstract

Postoperative pain is one of the most common and disabling complications following hemorrhoidectomy. This study divided a total of 90 patients, undergone Milligan and Morgan hemorrhoidectomy, in three groups of 30 patient: Group A, undergone internal sphincterotomy after hemorrhoidectomy; Group B, treated with Diosmin 500 mg; Group C, treated with Paracetamol 1000 mg when required. The analysis of the median VAS score (Visual Analogic Scale) of postoperative pain, in every group pointed out a relationship between postoperative pain reduction and time at the three set checkpoints (1st, 3rd, 9th postoperative day) (R2= 0.9231 for Group A; R2= 0.9423 for group B; R2= 0.9423 for group C). Mean VAS scores have been worked out for the three checkpoints and we 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 postoperative pain, both the 1st, the 3rd and the 9th postoperative day.