Hemorrhoidectomy with and Without Lateral Internal Sphincterotomy in Terms of Post-Operative Pain Relief

  • Aliya Shaima Faisalabad Medical University Faisalabad
  • Shahbaz Ahmed Faisalabad Medical University Faisalabad
  • Muhammad Rizwan Javed General Hospital Samanabad Faisalabad
  • Sara Rizwan Woman Medical Officer, Civil Hospital, Mirpurkhas Sindh
  • Muhammad Asif Allied Hospital Faisalabad
  • Rameez Hassan Khan Post Graduate Resident, Surgical Unit-III Allied Hospital, Faisalabad Pakistan
Keywords: Hemorrhoidectomy, Lateral sphincterotomy, Pain relief


Objective: To compare hemorrhoidectomy with and without lateral internal sphincterotomy in terms of postoperative pain relief. Study Design: Randomized control trial. Settings: Department of surgery, Allied hospital Faisalabad Pakistan. Duration: January 2018 to June 2018. Methodology: This study was a randomized control trial, cases from both genders were selected as per inclusion criteria, Total 60 patients were selected & divided into two groups by random numbers, each group contained 30 patients, group A patients underwent Hemorrhoidectomy alone while group B patients underwent Hemorrhoidectomy with Lateral sphincterotomy, pain relief in both groups was compared at 24 hours postoperatively, P-value of less than 0.05 was taken significant. Results: Among 60 patients 35 (58.34%) were males while 25 (41.66%) were females, mean age of group A patients was 50.40±11.96 years and of group B it was 43.26±13.45 years. Four (13.33%) out of 30 patients in group A had pain relief, while in group B 19 (63.33%) out of 30 patients had pain relief at 24 hours. Conclusion: Hemorrhoidectomy with lateral sphincterotomy is better for treatment of 3rd degree, 4th degree internal hemorrhoids & external hemorrhoids.

Author Biographies

Shahbaz Ahmed, Faisalabad Medical University Faisalabad

Assistant professor of Surgery,

Allied Hospital/FMU, Faisalabad

Muhammad Rizwan Javed, General Hospital Samanabad Faisalabad

Medical Officer      

Govt. General Hospital, Samanabad, Faisalabad.

Sara Rizwan, Woman Medical Officer, Civil Hospital, Mirpurkhas Sindh

Woman Medical Officer, Civil Hospital, Mirpurkhas Sindh

Muhammad Asif, Allied Hospital Faisalabad

PGR Surgery
Allied Hospital Faisalabad