Post hemorrhoidectomy pain : A randomized controlled trial

To compare the effect of metronidazole on post conventional hemorrhoidectomy pain in patients with third and fourth degree hemorrhoids. Two hundred consecutive patients admitted in King Fahad Hospital, Hofuf, Saudi Arabia between June 2002 and May 2004 for surgical treatment of 3rd and 4th degree he...

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Veröffentlicht in:Saudi medical journal 2006-10, Vol.27 (10), p.1538-1541
Hauptverfasser: AL-MULHIM, Abdulrahman S, ALI, Adel M, AL-MASUOD, Nabil, ALWAHIDI, Adel
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container_end_page 1541
container_issue 10
container_start_page 1538
container_title Saudi medical journal
container_volume 27
creator AL-MULHIM, Abdulrahman S
ALI, Adel M
AL-MASUOD, Nabil
ALWAHIDI, Adel
description To compare the effect of metronidazole on post conventional hemorrhoidectomy pain in patients with third and fourth degree hemorrhoids. Two hundred consecutive patients admitted in King Fahad Hospital, Hofuf, Saudi Arabia between June 2002 and May 2004 for surgical treatment of 3rd and 4th degree hemorrhoids were randomly assigned into 2 groups. In Group 1 (100 patients) pre and postoperative metronidazole was used and in Group 2 (100 patients) no medications were given. All patients received castor oil from 2 days before surgery and lactulose after surgery for 2 weeks. Patients were discharged home when free of pain. Patients in group 1 had significantly less pain than those in the second group. Hospital stay and time to first bowel motion were not significantly different between both groups and, early and late complications appear similar. Return to normal activity was significantly shorter in the metronidazole group. Prophylactic metronidazole in Milligan-Morgan hemorrhoidectomy is associated with less pain and earlier return to normal activity.
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Two hundred consecutive patients admitted in King Fahad Hospital, Hofuf, Saudi Arabia between June 2002 and May 2004 for surgical treatment of 3rd and 4th degree hemorrhoids were randomly assigned into 2 groups. In Group 1 (100 patients) pre and postoperative metronidazole was used and in Group 2 (100 patients) no medications were given. All patients received castor oil from 2 days before surgery and lactulose after surgery for 2 weeks. Patients were discharged home when free of pain. Patients in group 1 had significantly less pain than those in the second group. Hospital stay and time to first bowel motion were not significantly different between both groups and, early and late complications appear similar. Return to normal activity was significantly shorter in the metronidazole group. 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subjects Adult
Anti-Infective Agents - therapeutic use
Antibiotic Prophylaxis
Biological and medical sciences
Female
General aspects
Hemorrhoids - surgery
Humans
Male
Medical sciences
Metronidazole - therapeutic use
Middle Aged
Pain Measurement
Pain, Postoperative - prevention & control
Saudi Arabia
Stomach, duodenum, intestine, rectum, anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
title Post hemorrhoidectomy pain : A randomized controlled trial
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