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Influence of Surgical Technique on Pain and Postoperative Stay of Patients Subjected to Ambulatory Hemorrhoidectomy

Jesu00fas Gil BonaF. Martínez UbietoC. Gracia RocheP. Peña CalvoJ. Martínez UbietoA. Pascual Bellosta

出版	Morressier, 2017
URL	http://books.google.com.hk/books?id=fpa4zQEACAAJ&hl=&source=gbs_api

註釋INFLUENCE OF SURGICAL TECHNIQUE ON PAIN AND POSTOPERATIVE STAY OF PATIENTS SUBJECTED TO AMBULATORY HEMORRHOIDECTOMYBackground and goalUp to 40% of patients subjected to an ambulatory major surgery present moderate-severe pain during the first 24 hours after the operation. This incidence remains around 20% in the first 48 hours, and in 10% at 7 days.The objective of this study is to assess its influence on the postoperative stay of patients undergoing ambulatory hemorrhoidectomy, and its incidence depending on the type of surgical technique performed.Material and MethodsWe performed a prospective study over patients undergoing ambulatory major surgery from June 2013 to June 2016. 120 patients Undergoing hemorrhoidectomy (58 subjected to a Hemorrhoidal Laser Technique, HeLP, and 62 subjected to a Milligan-Morgan technique, MM) were introduced. All patients were subjected to a balanced general anesthesia using a laryngeal mask.We made a comparative analysis evaluating pre, intra, and post-operative data according patients were operated under a HeLP technique or a MM technique.To correlate different variables we used the chi square of Pearson or Fisher test for discrete variables and t-student or U Mann-Whitney test for continuous variables. Significance at p