РОЛЬ МЕСТНОЙ ТЕРАПИИ БОЛЕВОГО СИНДРОМА У ПАЦИЕНТОВ ПОСЛЕ ГЕМОРРОИДЭКТОМИИ

Abstract

AIM: to estimate efficacy of local use of fluocortolone pivalate combined with lidocaine for postoperative pain after excisional hemorrhoidectomy. PATIENTS AND METHODS: two-hundred patients were included in retrospective study. All patients underwent excisional hemorrhoidectomy. Patients were divided in two groups, each group included 100 patients comparable in demographics, hemorrhoids stage. Traditional postoperative systemic pain relief was used in both groups and included NSAIDs and opioid receptor antagonists. The main group included patients with postoperative additional local use of fluocortolone pivalate in combination with lidocaine in operative theatre, every day after during postoperative control examination and after each defecation up to 7 days after surgery. The pain intensity was estimated using visual analog scale (VAS).RESULTS: on the 1st day after surgery pain was less intensive in the main group (1.57 vs 3.24; p<0,05), as well as on the 3d day (0,91 vs 2.48; p<0,05) and on 7th day (0.63 vs 1.12; p<0,05). CONCLUSION: local use of fluocortolone pivalate combined with lidocaine reduces postoperative pain twice.