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Category: Volume 11 Issue 06 June 2023
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Title: Role of Self Mechanical Anal Dilatation to Prevent Pain after Hemorrhoidecomy

Authors: Dr Dewat Ram Nakipuria, Dr Vinod Kr Ramteke

 DOI: https://dx.doi.org/10.18535/jmscr/v11i6.13

Abstract

Background: Hemorrhoid is very common ano rectal disease causing painless bleeding after defecation. Hemorrhoidectomy is still the most effective surgical treatment for hemorrhoidal disease, but it is, however, associated with complications such as pain in post operative period.
Aim of this study is to evaluate to break the “vicious circle” of “pain–sphincteric spasm–pain” with the postoperative use of self-mechanical anal dilation.
Methods: 30 patients undergoing hemorrhoidectomy as suffering from hemorroids were divided randomly in two groups by odd & even method, one group was assigned as dilator group where self mechanical 33 mm Anal Dilator for 15 mins was used for a period of 02 weeks and in another group no anal dilator used although both had fibre diet amd laxative with sitz bath in post operative period. Pain, oedema, discharge, bleeding and incontinence was observed on Ist, 3rd, 7th and 15th day.
Result: 15 Patients who had undergone self mechanical anal dilator showed less pain compaired to no dilator group (P<0.05).Bleeding, discharge and oedema was significantly low in both group, faecal incontinence was present in dilator group for 7 days but disappeared on 15th day(P=050).
Conclusions: This prospective study confirms that self mechanical anal dilatation reduce pain after haemorrhoidectomy. No faecal incontinence noticed.
Keywords: Hemorrhoids. Hemorrhoidectomy, Self Mechanical Anal Dilatation, Pain.

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Corresponding Author

Dr Dewat Ram Nakipuria

Assistant Professor, Department of General Surgery, North DMC Medical College & Hindu Rao Hospital, Delhi