Hemorrhoidectomy: Per- and Post-Operative Pain Status and Patient Comfort After the Administration of Two Different Techniques

Abstract

Hemorrhoids are a normal part of human anatomy, consisting of mucosa, submucosal fibroelastic connective tissue, smooth muscles and blood vessels. Hemorrhoidal disease typically manifests with severe symptoms and requires surgery in 10-20% of the patients. The study included 50 patients with grade III and IV internal Hemorrhoidal disease that presented to our General Surgery department. After obtaining a written informed consent from each patient, the 50 patients were randomly divided into 2 groups on even or odd numbers according to the order of hospitalization: Group I (n = 25) included the patients with odd numbers that underwent electrotherapy and Group II (n = 25) included the patients with even numbers that underwent Ferguson hemorrhoidectomy. Spinal block was performed. Patients were assessed with VAS (visual analogue scale). The results of the study were statistically significant (p<0.05) in terms of operation time, duration of hospital stay, recurrence development and pain score in Group I. We believe that electrocoagulation therapy with dirct current is highly successful in the treatment of internal hemorrhoids, reduces hospitalization time and recurrence rate, provides less pain and more patient comfort.