The Frequency of the Pain after Hemorrhoidectomy with or without Lateral Sphincterotomy

Objective: Hemorrhoids is one of the ancient diseases in the world and very painful to the patient. Open hemorrhoidectomy remains a surgical therapy for hemorrhoids worldwide. The aim of the study was to evaluate the frequency of postoperative pain and rectal bleeding in open hemorrhoidectomy with and without lateral sphincterotomy. Methodology: This is a prospective case control study was conducted in surgical unit-I of Ghulam Mohammad Mahar Medical College (GMMC), Sukkur. The ethical approval was taken from the Institutional Research and Ethical Committee. The duration of the study was about 2 years from Nov 2016 to Dec 2018. A total of 120 patients were chosen for this study in which 77 were males and 43 were females having grade 2nd, 3rd and 4th hemorrhoids. Statistical Package for the Social Sciences (SPSS) version 20 was used to analyze the data. Results: Results of this study shows that 60 patients out of 120 underwent only hemorrhoidectomy and remaining 60 were gone for hemorrhoidectomy with LIS under general or spinal anesthesia. Majority of them were males about 64.2% and 35.8% were female. The age ranges from 18 to 50 years. About 60 (50.0%) patients out of 120 had 3rd degree hemorrhoids. Post-operative pain was experienced on subsequent visits after 2nd, 7th and 30th day after surgery. The pain was measured through Visual Analog Scoring (VAS). .It also shows the bleeding per rectal at different intervals after the open hemorrhoidectomy and hemorrhoidectomy with LIS. It also observed that at the end of 30th day, postoperative wound healing was completed for both the surgeries. Conclusion: This study concludes that addition of internal sphincterotomy to open hemorrhoidectomy was an effective method to lessen post-operative pain and complications whereas it reduced the duration of complete wound healing without any considerable injury.