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Efficacy of Haemorrhoidectomy with Internal Sphincterotomy in Case of Hemorrhoids

BACKGROUND The role of internal sphincterotomy along with haemorrhoidectomy in reducing the pain among the cases with haemorrhoids is still a debate among most surgeons. Hence this study was conducted to compare the efficacy of haemorrhoidectomy with or without internal sphincterotomy in reducing the postoperative pain among the patients with haemorrhoids. METHODS A hospital-based prospective comparative study was conducted among the patients with haemorrhoids undergoing surgical intervention for the same in the Department of General Surgery in Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research, Melmaruvathur, from January 2021 to June 2021. A total of a hundred and twenty cases with haemorrhoids were included in the study. Patients in group A (N=60) underwent haemorrhoidectomy alone and group B (N=60) underwent haemorrhoidectomy along with internal sphincterectomy. Data entry was done using Microsoft excel and data was analyzed using Statistical Package for Social Sciences (SPSS) version 17. RESULTS In the present study, mean pain scores on the first three postoperative days and the duration required to resume the normal activities was found to be low in the group that underwent haemorrhoidectomy with internal sphincterectomy compared to the group that underwent haemorrhoidectomy alone. Duration of surgical procedure and the complications were found to be similar in both haemorrhoidectomy with internal sphincterectomy group and haemorrhoidectomy alone, group. CONCLUSIONS Haemorrhoidectomy with lateral internal sphincterotomy was better in terms of less pain but the complications were similar in both groups. KEY WORDS Haemorrhoidectomy, Internal Sphincterotomy, Pain, Haemorrhoids.