A prospective comparative study of hemorrhoidectomy with out lateral sphincterotomy and hemorrhoidectomy with lateral sphincterotomy

Background: Hemorrhoidectomy is associated with significant pain. Different methods have been tried to reduce post operative pain such as local application of glyceryl trinitrate, calcium channel blockers & Diaosmin therapy. None of them proved to be effective & superior to one another. Various studies done, with controversial results regarding the routine procedure of internal sphincterotomy along with hemorrhoidectomy. This combined approach results in relaxation of internal sphincter and leads to reduced post operative pain, early wound healing and early recovery. Conclusion: Hemorrhoidectomy with lateral sphincterotomy effectively reduces post-operative pain, promotes early wound healing and accelerates recovery.