Triamcinolone and Bupivacaine Infiltration for Pain Management after Milligan Morgan Hemorrhoidectomy: Preliminary Results of a Prospective Randomized Double-Blinded Controlled Clinical Trial

Medina-Gallardo, Adrian; Castro-Gutierrez, Xavier De; Caralt-Mestres, Enric De; Curbelo-Peña, Yuhamy; Stickar, Tomás; Nagda, Neil; Roca-Closa, Josep; Vall, Xavier X. Quer; Roura-Poch, Pere; Vallverdu-Cartie, Helena

doi:10.1016/j.jamcollsurg.2018.07.161

Cited by 1 publication

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“…As a prospective observational study, there was no comparative group in our study to assess difference in pain scores and complications. However, Milligan-Morgan haemorrhoidectomy is long established as an extremely painful procedure, often needing several days in-hospital stay with opiate analgesia [11][12][13] . It is the authors belief that minimizing trauma to the anoderm results in less post operative pain.…”

Section: Discussionmentioning

confidence: 99%

CO2 Laser Haemorrhoidectomy for Treatment of Grade IV Haemorrhoids

Babak Meshkat,

Ibrahim Haidaran,

Ahmed Haidaran

2022

IJPHRD

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Background: symptomatic haemorrhoids are a common problem. While many treatment options are available, none have shown clear superior results. Pain, recurrence rates and potential complications are the main considerations when choosing the optimal treatment for haemorrhoids. Methods: We evaluated post operative pain using a visual analogue at one and four weeks post operatively in patients undergoing Milligan-Morgan haemorrhoidectomy using CO 2 laser. We also recorded any unplanned re-presentations and complications during a 24 months study period. Results: There were 77 patient who underwent CO 2 laser haemorrhoidectomy during the study period. Post operative pain was low (mode=1, mean=3) in the majority of patients. Those who developed a complication had higher post operative pain scores at one week compared to those who did not. All patients were pain free at four week follow up. Conclusion: Overall we found CO 2 haemorrhoidectomy to be a safe procedure which is well tolerated in the vast majority of patients.

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Section: Discussionmentioning

confidence: 99%