This study aims to compare the lateral internal sphincterotomy versus no lateral internal sphincterotomy during hemorrhoidectomy in the management of patients with hemorrhoids.
Hemorrhoidectomy is associated with postoperative pain, and no single surgical technique has been proven to reduce the pain significantly. However, there are many drawbacks to such techniques, such as postoperative pain and constipation. The cause of this postoperative pain is multifactorial. Spasm of the internal anal sphincter (IAS) is one of the factors which is exposed and impinged after EH. Therefore, Lateral internal sphincterotomy (LIS) is a widely used adjunct treatment after EH, which can abolish spasms of the IAS and subsequently relieve postoperative pain.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
200
Patients undergoing Hemorrhoidectomy with lateral internal sphincterotomy.
Patients undergoing Hemorrhoidectomy without lateral internal sphincterotomy.
Minia University
Minya, Egypt
Anal pain score
The pain was measured by visual analog scoring (VAS) described as : 0-no pain, at score 1 to 3- mild pain, score 4 to 6-moderate pain, at score 7 to 10- severe pain. Post-operative pain was observed on subsequent visits after 48 hours, one week and 4 weeks postoperatively.
Time frame: 4 weeks postoperatively
Degree of incontinence
Incontinence was assessed by Wexner's incontinence score for solid, liquid, and gas until 48 hours postoperatively
Time frame: 48 hours postoperatively.
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