Authors : Bathrinath M S; Sakthi M; N. Junior Sundresh

Volume/Issue : Volume 10 - 2025, Issue 8 - August

Google Scholar : https://tinyurl.com/yv9yertd

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DOI : https://doi.org/10.38124/ijisrt/25aug1277

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Abstract : Background: Effective postoperative pain management is crucial for optimal recovery following hemorrhoidectomy. This study evaluates and compares two postoperative pain management strategies.  Traditional opioid-based therapy  Multimodal analgesia In patients undergoing hemorrhoidectomy at a tertiary care teaching hospital.  Methods: A total of patients were categorized into two primary groups:  Group A (Traditional Opioid-Based Therapy) received tramadol and oral acetaminophen;  Group B (Multimodal Analgesia) received oral acetaminophen, Topical lidocaine, and Sitz Bath. Patient demographics, surgical type, and additional clinical parameters including VAS pain Scores on postoperative Days 1, 3, and 5, satisfaction scores, recovery duration, and Contributing lifestyle and medical history factors were recorded and analyzed.  Results: Preliminary findings indicated that 60% of patients in Group A experienced significant pain Reduction, compared to 40% in Group B. Group A also showed comparatively shorter Recovery times and higher satisfaction scores. Associated factors such as low fiber intake, Sedentary lifestyle, history of constipation, and comorbidities like diabetes and Hypertension were examined for their influence on recovery outcomes.  Conclusion: Traditional opioid-based therapy was found to be more effective in reducing postoperative Pain and improving patient satisfaction in the immediate postoperative period following Hemorrhoidectomy. These findings support the continued use of opioids in selected cases, With due consideration of patient-specific factors and potential adverse effects.

Keywords : Hemorrhoidectomy, Tramadol, Lidocaine, Acetaminophen, Traditional Opioid Based Therapy, Multimodal Analgesia, Sitz Bath, VAS Pain Score.

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