Study of Open Hemorrhoidectomy Versus Open Hemorrhoidectomy Along with Internal Sphincterotomy in the Management of Post - Operative Pain

Objective: To compare short term outcome of post -operative pain in patients operated for hemorrhoidectomy alone and hemorrhoidectomy along with internal sphincterotomy. Study design: Prospective comparative clinical study. Source of sample: Patients admitted in the surgical ward of all units of GREAT EASTERN MEDICAL SCHOOL the time taken to request rescue analgesia was significantly lower after LIS (p= 0.045). Side effects such as Post operative bleeding was similar between the two groups. Need for bladder catheterization to drain urine was significantly lower in patients who underwent LIS (p= 0.0016). Post operatively, return to work & Hospital stay are assessed in all the patients with other complications. The difference between the both groups was significant i. e. p < 0.05. Conclusion: Lateral internal sphincterotomy combined with hemorrhoidectomy significantly reduces the post operative pain without increasing morbidity.