Short – Term Outcome After Use of Perianal Cleansing Cream After Open Diathermy Hemorrhoidectomy: a Single Center Retrospective Study on a Consecutive Cohort of Patients

Abstract

Background The healing of hemorrhoidectomy wounds is a main concern of surgeons and patients. Various modalities can improve the quality of wound care after surgery. Several types of surgery, antibiotics and topical agents, such as solutions and ointments, have been evaluated. The current research investigates the effects of cleansing cream in the post – operative management after open diathermy hemorrhoidectomy in terms of wound healing and post – operative pain. Methods Between January 2022 and December 2022, 70 consecutive patients underwent open diathermy hemorrhoidectomy for III- and IV- degree hemorrhoids using a cleansing cream postoperatively and were evaluated. Results 70 patients with third- (n = 46, 65%) and fourth- degree (n = 24, 35%) hemorrhoids were consecutively enrolled. The mean operative time was 21 minutes (range, 17 to 41 min). No intraoperative complications were detected. HSS and VAS score decreased over the time and all patients achieved complete wound healing at the last follow-up despite three of these developed posterior anal fissure. All patients had returned to normal activities (range, 10 days to 15 days). Conclusion The results suggest the safety and the effectiveness in terms of post operative pain and wound healing of cleansing crema after open diathermy hemorrhoidectomy. Further multicenter study comparing different ointments are needed to confirm this finding.