Haemorrhoidectomy with internal sphincterotomy: A useful method to relieve post operative pain?

Objective: this study was designed to compare short term outcome of post operative pain in patients operated for haemorrhoidectomy alone and haemorrhoidectomy with internal sphincterotomy. methodology: this comparative observational study conducted at liaquat university hospital jamshoro during august 2012 to july 2014. one hundred and sixteen patients of 3rd or 4th degree hemorrhoids were enrolled in the study. patients were divided into two comparable groups. group a underwent open haemorrhoidectomy along with lateral sphincterotomy whereas group b was operated for open haemorrhoidectomy alone. postoperative pain was analyzed by using visual analogue score at 24 hours,48 hours and on 10th post operative day. results: total 116 patients were included in the study. fifty eight patients in each group. the mean age of the patients was 42± 10. 2. male were 77 (66.4%) and 39 (33.6%) were female. male to female ration was 2:1. during follow-up periods,patient in group a experienced less postoperative pain as compared to group b (p value is ≤ 0.05). none of the patient developed flatus or fecal incontinence. conclusion: lateral internal sphincterotomy combined with haemorrhoidectomy significantly reduces postoperative pain without increasing morbidity. © 2015,liaquat university of medical and health sciences. all rights reserved.