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Title: Comparison of post-operative pain in stapled haemorrhoidectomy v/s open haemorrhoidectomy.
Authors: Sultan Mahmood Khan, Asrar Ahmad Khan, Shoukat Ali, Shaheer Sultan, Asif Rashid Alamgir, Faisal Bilal Lodhi
Journal: The Professional Medical Journal (TPMJ)
Publisher: Independent Medical College, Faisalabad- Pakistan
Country: Pakistan
Year: 2024
Volume: 31
Issue: 10
Language: English
DOI: 10.29309/TPMJ/2024.31.10.8264
Keywords: Postoperative painHaemorrhoidsStapled Haemorrhoidectomy
Objective: To compare mean post-operative pain in stapled haemorrhoidectomy versus open haemorrhoidectomy. Study Design: Randomized Control Trial. Setting: Department of Surgery, Allied Hospital Faisalabad. Period: 18-04-2021 to 17-10-2021. Methods: There are 94 patients that fill the concert form that agree in this study. The presenting complaints that included such as bleeding per anus ,prolapsed of the mucosal membrane, hardening of stool and itching of rectum that were noted. Complete history was taken and physical examination was done as per rule. There are two groups arranged where patients are divided in this group with a well-mannered numerical method. Patients having the group that labeled as Group A underwent open haemorrhoidectomy that compare with the patients that labelled with as Group B with stapled heamorrhoidectomy. All operations were done by same surgical team .All patients were retained in surgical ward in surgical department of Allied hospital Faisalabad .there are several post-operative therapies were taken for reducing the pain and recommend the analgesic NASIDS in the form of Intravenous rout. In the first post-operative day of treatment I/v Paracetamol were administered for 08 hours. NSAIDS and other pain killers were administered in the form of Diclofenac 50mg for the next five post-operative days. However, these medications were administered in both groups that labeled as Group a and Group B of the patients. Results: Comparison of post-operative pain in both groups shows 2.28+0.45 pain in Group-A and 1.26+0.49 in Group-B, p value is 0.0001. Conclusion: The conclusion that showed post-operative pain is significantly lower in stapled haemorrhoidectomy when compared with open haemorrhoidectomy in 3rd and 4th degree of haemorrhoids.
To compare mean post-operative pain in stapled haemorrhoidectomy versus open haemorrhoidectomy.
Randomized Control Trial conducted in the Department of Surgery, Allied Hospital Faisalabad from April 18, 2021, to October 17, 2021. 94 patients with 3rd and 4th-degree hemorrhoids were divided into two groups: Group A (open haemorrhoidectomy) and Group B (stapled haemorrhoidectomy). Post-operative pain was assessed using a visual analogue scale at 48 hours. Pain management involved intravenous Paracetamol and oral NSAIDs (Diclofenac).
graph TD;
A["Patient Recruitment 3rd/4th degree hemorrhoids"] --> B["Randomization"];
B --> C["Group A: Open Haemorrhoidectomy"];
B --> D["Group B: Stapled Haemorrhoidectomy"];
C --> E["Post-operative Pain Assessment 48 hrs"];
D --> E;
E --> F["Data Analysis"];
F --> G["Conclusion"];
The study highlights that stapled haemorrhoidectomy results in significantly lower post-operative pain compared to open haemorrhoidectomy for 3rd and 4th-degree hemorrhoids. This finding is important given the prevalence of hemorrhoids and the common complaint of persistent pain after surgery. The study also notes a lack of extensive research on this topic in Pakistan.
Post-operative pain was significantly lower in the stapled haemorrhoidectomy group (Group B) with a mean score of 1.26+0.49 compared to the open haemorrhoidectomy group (Group A) with a mean score of 2.28+0.45. The p-value was 0.0001.
Post-operative pain is beneficially lower in stapled haemorrhoidectomy when compared with open haemorrhoidectomy in patients with 3rd and 4th-degree hemorrhoids.
- The study enrolled 94 patients, divided equally into two groups of 47 each. (Confirmed)
- The mean post-operative pain score for Group A (open haemorrhoidectomy) was 2.28+0.45, and for Group B (stapled haemorrhoidectomy) was 1.26+0.49. (Confirmed)
- The study period was from April 18, 2021, to October 17, 2021. (Confirmed)
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