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Query: UMLS:C0030201 (Postoperative pain)
 1,085 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Nowadays different surgical techniques are available for the treatment of haemorrhoids even if a general, international consensus is still lacking. The authors, through a personal interpretation of haemorrhoids based on the PATE 2000 Sorrento classification, report on a comparative trial of haemorrhoidectomy by the transfixed stitches technique versus an open surgical technique (Milligan-Morgan). Particular attention was devoted in this prospective randomised trial to analysing the early postoperative side effects (bleeding, urinary retention), the time taken to return to active life and wound healing. Patients with grade III-IV haemorrhoids were enrolled in our study and divided into two groups: one treated by the transfixed stitches technique and the other by the Milligan-Morgan procedure. The main outcome measures such as analgesic use during the first week, early side effects, wound healing and the time taken to return to active life were evaluated. Patients were followed for 6 months after surgery. A total of 160 patients were enrolled, 80 in each group. The pain score after surgery was significantly lower in the transfixed stitches group than in the Milligan-Morgan group (p < 0.01). 30% of the transfixed stitches patients took analgesics in comparison with 90% of the Milligan-Morgan patients (p < 0.01). Postoperative pain after the start of bowel movements in the transfixed stitches group was lower than in the Milligan-Morgan group. Wound healing was immediate in the transfixed stitches patients and was obtained after one month in the open surgery group. Haemorrhoidectomy by the transfixed stitches technique is more advantageous in comparison with the Milligan-Morgan procedure because of its lesser discomfort for the patient, earlier wound healing, milder side effects, shorter surgical time and earlier return to active life.
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PMID:[Transfixed stitches technique versus open haemorrhoidectomy. Results of a randomised trial]. 1750 Jan 80

The technique of haemorrhoidectomy with the transfixed stitch technique (TST) is a surgical treatment modality for haemorrhoids that is available to the surgeon. The authors, through a personal interpretation of haemorrhoids based on the PATE 2006 classification, report the results of a comparative trial, using TST with two different surgical threads, Assufil and Monofil. The aim of this prospective randomised trial was to compare the results with the use of each surgical thread, analysing early postoperative side effects (bleeding, urinary retention, pain), late postoperative side effects (pain, bleeding, stricture, anal secretion, tenesmus and faecal incontinence), return to active life and quality of life. Patients with grade III-IV haemorrhoids were enrolled in our study and divided into two groups, one treated with TST using Assufil and the other treated with TST using Monofil. The main outcome measures such as analgesic intake during the first week, early and late side effects, return to active life and quality of life were evaluated. Patients were followed for six months after surgery. A total of 40 patients were enrolled, 20 per group. The pain score after surgery was significantly lower in all patients treated with TST. Thirty percent of TST patients treated with Monofil took analgesics in comparison to 35% of the Assufil group (p = ns). Postoperative pain after the start of bowel movements in TST patients was similar in the two groups. TST patients treated with Monofil showed a low incidence of discomfort and surgical oedema in comparison to the Assufil group. Side effects, surgical time and return to active life in patients treated with TST were similar in the two groups. TST haemorrhoidectomy is more advantageous utilising Monofil surgical thread because of its lower complication rate.
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PMID:[Should surgical thread influence the outcome of haemorrhoidectomy with the transfixed stitch technique?]. 1868 81