BACKGROUND:The importance of using associated sphincterotomy for better pain control inpatients who underwent hemorrhoidectomy remains controversial in the literature.
AIM: Determine the role of associated sphincterotomy in patients submittedto surgical treatment for hemorrhoids. Patients and
METHODS: Twenty patients who underwent Milligan Morgan hemorrhoidectomywere distributed in two groups: Group 1: Hemorrhoidectomy without sphincterotomyand Group 2: Hemorrhoidectomy with sphincterotomy. Post-operative pain, complicationsas well anal continence was evaluated. Moreover, pre and post-operative manometrywas performed, and collected data was compared between the two groups of patients.
RESULTS: There was no difference in the incidence of post-operative complications.Although group I used more narcotics and analgesics in the post-operative time,pain was significantly higher at 3rd and 7th post-operativeday for Group II patients. Wound healing time was similar for both groups. Analincontinence was significantly higher for patients who underwent sphincterotomy.
CONCLUSION: Hemorrhoidectomy with associated internal lateral sphincterotomydid not reduce post-operative pain, and increased the risk of post-operativeincontinence.
