Evidence-based management of pain after haemorrhoidectomy surgery

G. P. Joshi, E. A M Neugebauer

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Background: Haemorrhoidectomy is associated with intense postoperative pain, but optimal evidencebased pain therapy has not been described. The aim of this systematic review was to evaluate the available literature on the management of pain after haemorrhoidal surgery. Methods: Randomized studies published in the English language from 1966 to June 2006, assessing analgesic and anaesthetic interventions in adult haemorrhoidal surgery, and reporting pain scores, were retrieved from the Embase and MEDLINE databases. Results: Of the 207 randomized studies identified, 106 met the inclusion criteria, with mixed methodological quality. Of these, 41 studies evaluating surgical and alternative interventions were excluded. Quantitative analyses were not performed, as there were limited numbers of trials with a sufficiently homogeneous design. Conclusion: Local anaesthetic infiltration, either as a sole technique or as an adjunct to general or regional anaesthesia, and combinations of analgesics (non-steroidal anti-inflammatory drugs, paracetamol and opiates) are recommended. If appropriate, a stapled operation may be preferable.

Original languageEnglish (US)
Pages (from-to)1155-1168
Number of pages14
JournalBritish Journal of Surgery
Volume97
Issue number8
DOIs
StatePublished - Aug 2010

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Hemorrhoidectomy
Pain Management
Analgesics
Opiate Alkaloids
Pain
Conduction Anesthesia
Acetaminophen
Postoperative Pain
Local Anesthetics
MEDLINE
General Anesthesia
Anesthetics
Anti-Inflammatory Agents
Language
Databases
Pharmaceutical Preparations
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Evidence-based management of pain after haemorrhoidectomy surgery. / Joshi, G. P.; Neugebauer, E. A M.

In: British Journal of Surgery, Vol. 97, No. 8, 08.2010, p. 1155-1168.

Research output: Contribution to journalArticle

Joshi, G. P. ; Neugebauer, E. A M. / Evidence-based management of pain after haemorrhoidectomy surgery. In: British Journal of Surgery. 2010 ; Vol. 97, No. 8. pp. 1155-1168.
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