{"id":3123,"date":"2021-05-19T13:24:38","date_gmt":"2021-05-19T10:24:38","guid":{"rendered":"https:\/\/www.esrahellas.gr\/?page_id=3123"},"modified":"2021-07-14T19:12:44","modified_gmt":"2021-07-14T16:12:44","slug":"haemorrhoid-surgery","status":"publish","type":"page","link":"https:\/\/www.esrahellas.gr\/en\/prospect-recommendations\/haemorrhoid-surgery\/","title":{"rendered":"Haemorrhoid Surgery"},"content":{"rendered":"  <div id=\"page-header-1090247855\" class=\"page-header-wrapper\">\n  <div class=\"page-title dark featured-title\">\n\n    \n    <div class=\"page-title-inner container align-center flex-row medium-flex-wrap\" >\n              <div class=\"title-wrapper flex-col text-left medium-text-center\">\n          <h1 class=\"entry-title mb-0\">\n            Haemorrhoid Surgery          <\/h1>\n        <\/div>\n                    <div class=\"title-content flex-col flex-right text-right medium-text-center\">\n        <div class=\"title-share pt-half pb-half\"><div class=\"social-icons share-icons share-row relative icon-style-fill\" ><a href=\"https:\/\/www.facebook.com\/sharer.php?u=https:\/\/www.esrahellas.gr\/en\/prospect-recommendations\/haemorrhoid-surgery\/\" data-label=\"Facebook\" onclick=\"window.open(this.href,this.title,'width=500,height=500,top=300px,left=300px'); return false;\" target=\"_blank\" class=\"icon primary button circle tooltip facebook\" title=\"Share on Facebook\" aria-label=\"Share on Facebook\" rel=\"noopener nofollow\"><i class=\"icon-facebook\" aria-hidden=\"true\"><\/i><\/a><a href=\"https:\/\/twitter.com\/share?url=https:\/\/www.esrahellas.gr\/en\/prospect-recommendations\/haemorrhoid-surgery\/\" onclick=\"window.open(this.href,this.title,'width=500,height=500,top=300px,left=300px'); return false;\" target=\"_blank\" class=\"icon primary button circle tooltip twitter\" title=\"Share on Twitter\" aria-label=\"Share on Twitter\" rel=\"noopener nofollow\"><i class=\"icon-twitter\" aria-hidden=\"true\"><\/i><\/a><a href=\"mailto:?subject=Haemorrhoid%20Surgery&body=Check%20this%20out%3A%20https%3A%2F%2Fwww.esrahellas.gr%2Fen%2Fprospect-recommendations%2Fhaemorrhoid-surgery%2F\" class=\"icon primary button circle tooltip email\" title=\"Email to a Friend\" aria-label=\"Email to a Friend\" rel=\"nofollow\"><i class=\"icon-envelop\" aria-hidden=\"true\"><\/i><\/a><a href=\"https:\/\/www.linkedin.com\/shareArticle?mini=true&url=https:\/\/www.esrahellas.gr\/en\/prospect-recommendations\/haemorrhoid-surgery\/&title=Haemorrhoid%20Surgery\" onclick=\"window.open(this.href,this.title,'width=500,height=500,top=300px,left=300px'); return false;\" target=\"_blank\" class=\"icon primary button circle tooltip linkedin\" title=\"Share on LinkedIn\" aria-label=\"Share on LinkedIn\" rel=\"noopener nofollow\"><i class=\"icon-linkedin\" aria-hidden=\"true\"><\/i><\/a><\/div><\/div>      <\/div>\n    <\/div>\n\n     \n<style>\n#page-header-1090247855 {\n  margin-bottom: 20px;\n}\n<\/style>\n  <\/div>\n    <\/div>\n  \n<div class=\"row align-middle\"  id=\"row-1091726366\">\n\n\t<div id=\"col-2005881817\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_1874639183\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"200\" height=\"66\" src=\"https:\/\/www.esrahellas.gr\/wp-content\/uploads\/2021\/05\/LOGO-PROSPECT-1.jpg\" class=\"attachment-large size-large\" alt=\"\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_1874639183 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1248580724\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h3>Haemorrhoid Surgery &#8211; PROSPECT<\/h3>\n<p>GUIDELINES &#8211; RECOMMENDATIONS<br \/>Procedure Specific Postoperative Pain Management<\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n<div class=\"row\"  id=\"row-59592265\">\n\n\t<div id=\"col-508890952\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong>GUIDELINES &#8211; RECOMMENDATIONS<\/strong><\/p>\n<p><strong>Procedure Specific Postoperative Pain Management<\/strong><\/p>\n<p><a href=\"http:\/\/www.postoppain.org\/\">www.postoppain.org<\/a><\/p>\n<p><strong>HAEMORRHOID SURGERY<\/strong><\/p>\n<p><strong>SUMMARY RECOMMENDATIONS<\/strong><\/p>\n<p>Algorithm for the Management of Postoperative Pain: <a href=\"http:\/\/www.postoppain.org\/image.aspx?imgid=710\">click here<\/a><\/p>\n<p>Patient Advice and Assessment: <a href=\"http:\/\/www.postoppain.org\/extraPage.aspx?epid=111\">click here<\/a><\/p>\n<p><strong>PROSPECT HAEMORRHOID SURGERY SUBGROUP<\/strong><\/p>\n<p>For each review, a Subgroup of the prospect Working Group performs an initial evaluation of the evidence and also drafts clinical practice statements and recommendations, which are then discussed by the whole Working Group before a final consensus is reached. The Subgroup may sometimes include a non-Working Group member, to provide additional expertise in the procedure being reviewed. For the haemorrhoid surgery review, the Subgroup members were:<\/p>\n<ul>\n<li>Professor Girish Joshi (PROSPECT Working Group member)<\/li>\n<\/ul>\n<ul>\n<li>Professor Edmund Neugebauer (PROSPECT Working Group member)<\/li>\n<\/ul>\n<p><strong>GRADES OF RECOMMENDATION<\/strong><\/p>\n<p>Recommendations are graded according to the overall Level of Evidence (LoE) on which the Recommendations are based, which is determined by the quality and source of evidence <a href=\"http:\/\/www.postoppain.org\/extraPage.aspx?epid=46\">(Levels of \u0395vidence and Grades of Recommendation in PROSPECT reviews from 2006)<\/a>.<\/p>\n<p>PROSPECT provides clinicians with supporting arguments for and against the use of various interventions in postoperative pain based on published evidence and expert opinion. Clinicians must make judgements based upon the clinical circumstances and local regulations. At all times, local prescribing information for the drugs referred to must be consulted.<\/p>\n<p><strong>SUMMARY RECOMMENDATIONS<\/strong><\/p>\n<p>Pre-, intra- and postoperative interventions have been evaluated for the management of postoperative pain following haemorrhoid surgery. Unless otherwise stated, \u2018pre-operative\u2019 refers to interventions applied before surgical incision, \u2018intra-operative\u2019 refers to interventions applied after incision and before wound closure, \u2018postoperative\u2019 refers to interventions applied at or after wound closure. After haemorrhoid surgery, pain is not only related to the early postoperative period, but is also a problem after 2\u20133 days, around the time of first defecation. The following peri-operative interventions for haemorrhoid surgery have been reviewed.<\/p>\n<div class=\"row row-collapse row-solid\"  id=\"row-649488794\">\n\n\t<div id=\"col-1730021286\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong>PREOPERATIVE RECOMMENDATIONS FOR HAEMORRHOID SURGERY<\/strong><\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1354753509\" class=\"col medium-3 small-12 large-3\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Pre &#8211; Operative Recommendations<\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-2124205300\" class=\"col medium-9 small-12 large-9\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong><i>Systemic Analgesia<\/i><\/strong><\/p>\n<p>&#8211; Parenteral glucocorticoids (Grade B)<\/p>\n<p>&#8211; Conventional NSAIDs (Grade B), COX-2-selective inhibitors (Grade B), and paracetamol (Grade B), administered in time to provide sufficient analgesia in the early recovery period<\/p>\n<p><strong><i>Alternative Interventions<\/i><\/strong><\/p>\n<ul>\n<li>Laxatives (Grade A)<\/li>\n<li>Oral metronidazole (Grade A)<\/li>\n<\/ul>\n<p><strong><i>LA for Analgesia<\/i><\/strong><\/p>\n<ul>\n<li>Perianal LA infiltration, as an adjunct to anaesthesia (Grade A)<\/li>\n<li>Nerve blocks, as adjuncts to anaesthesia (Grade A)<\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n<div class=\"row row-collapse row-solid\"  id=\"row-949374055\">\n\n\t<div id=\"col-2058753168\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong>INTRAOPERATIVE RECOMMENDATIONS FOR HAEMORRHOID SURGERY<\/strong><\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1823097938\" class=\"col medium-3 small-12 large-3\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Intra &#8211; Operative Recommendations<\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-668916052\" class=\"col medium-9 small-12 large-9\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong><i>Systemic Analgesia<\/i><\/strong><\/p>\n<ul>\n<li>Conventional NSAIDs (Grade B), COX-2 selective inhibitors (Grade B), and paracetamol (Grade B), administered in time to provide sufficient analgesia in the early recovery period<\/li>\n<li>Stapled haemorrhoid technique (Grade A)<\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n<div class=\"row row-collapse row-solid\"  id=\"row-832190483\">\n\n\t<div id=\"col-517996949\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong>POSTOPERATIVE RECOMMENDATIONS FOR HAEMORRHOID SURGERY<\/strong><\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-524516539\" class=\"col medium-3 small-12 large-3\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Postoperative Recommendations<\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-932854027\" class=\"col medium-9 small-12 large-9\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong><i>Systemic Analgesia<\/i><\/strong><\/p>\n<ul>\n<li>Conventional NSAIDs (Grade B), COX-2-selective inhibitors (Grade B)\u00a0\u00a0<\/li>\n<li>Paracetamol (Grade B), for low-moderate pain<\/li>\n<li>Strong opioids (Grade B), for pain of moderate-high intensity, to supplement non-opioid analgesics<\/li>\n<li>Weak opioids (Grade B), for pain of low-moderate intensity, to supplement non-opioid analgesics<\/li>\n<\/ul>\n<p><strong><i>Alternative Interventions<\/i><\/strong><\/p>\n<ul>\n<li>Laxatives (Grade A)<\/li>\n<li>Oral metronidazole (Grade A)<\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n<div class=\"row row-collapse row-solid\"  id=\"row-1800125164\">\n\n\t<div id=\"col-685307939\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong>NOT RECOMMENDED IN HAEMORRHOID SURGERY<\/strong><\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1046707776\" class=\"col medium-3 small-12 large-3\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Pre &#8211; Operative Not Recommended<\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1112830221\" class=\"col medium-9 small-12 large-9\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong><i>Systemic Analgesia<\/i><\/strong><\/p>\n<ul>\n<li><b>Gabapentinoids<\/b> (Grade D) because there is no procedure-specific evidence and because the benefit:risk ratio is not sufficiently favourable for this ambulatory procedure<\/li>\n<li><b>Ketamine<\/b> (Grade D) because there is no procedure-specific evidence and because the benefit:risk ratio is not sufficiently favourable for this ambulatory procedure<\/li>\n<li><b>Dextromethorphan<\/b> (Grade D) based on inconclusive procedure-specific and transferable evidence<\/li>\n<li><b>Strong Opioids, Including Transdermal Fentanyl<\/b> (Grade D) due to a lack of procedure-specific and transferable evidence<\/li>\n<\/ul>\n<p><strong><i>Topical Therapies<\/i><\/strong><\/p>\n<ul>\n<li><b>Topical EMLA<\/b> (Grade B) based on limited procedure-specific evidence showing a lack of analgesic benefit<\/li>\n<\/ul>\n<p><strong><i>LA for Analgesia<\/i><\/strong><\/p>\n<ul>\n<li><b>Caudal LA or Opioid<\/b> (Grade D), due to an insufficiently favourable benefit:risk ratio for this ambulatory procedure<\/li>\n<\/ul>\n<p><strong><i>Adjuncts to Spinal Anaesthesia<\/i><\/strong><\/p>\n<ul>\n<li><b>Addition of Adjuncts to the Spinal Solution<\/b> (Grade D), due to potential side-effects<\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1534224353\" class=\"col medium-3 small-12 large-3\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Intra &#8211; Operative Not Recommended<\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-548446175\" class=\"col medium-9 small-12 large-9\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong><i>Alternative Interventions<\/i><\/strong><\/p>\n<ul>\n<li><b>Botulinum Toxin<\/b>\u00a0(Grade D), due to inconsistent procedure-specific evidence for analgesic benefit in the postoperative period<\/li>\n<\/ul>\n<p><strong><i>Adjuncts to Surgery<\/i><\/strong><\/p>\n<ul>\n<li><b>Lateral Sphincterotomy<\/b> (Grade D) for analgesia due to limited and inconsistent procedure-specific evidence<\/li>\n<li><b>Anal Dilator<\/b>\u00a0(Grade D) for analgesia based on limited procedure-specific evidence<\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-904242193\" class=\"col medium-3 small-12 large-3\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Postoperative Not Recommended<\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-411905810\" class=\"col medium-9 small-12 large-9\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong><i>Systemic Analgesia<\/i><\/strong><\/p>\n<ul>\n<li><b>Gabapentinoids<\/b> (Grade D) because there is no procedure-specific evidence and because the benefit:risk ratio is not sufficiently favourable for this ambulatory procedure<\/li>\n<li><b>Ketamine<\/b> (Grade D) because there is no procedure-specific evidence and because the benefit:risk ratio is not sufficiently favourable for this ambulatory procedure<\/li>\n<li><b>Dextromethorphan<\/b> (Grade D) based on inconclusive procedure-specific and transferable evidence<\/li>\n<\/ul>\n<p><strong><em>Alternative Interventions<\/em><\/strong><\/p>\n<ul>\n<li><b>Botulinum Toxin<\/b> (Grade D), due to inconsistent procedure-specific evidence for analgesic benefit in the postoperative period<\/li>\n<li><b>Flavonoids<\/b> (Grade D), because of limited and inconclusive procedure-specific evidence<\/li>\n<li><b>Anal Sphincter Relaxant<\/b> (Grade D) for analgesia based on limited procedure-specific evidence<\/li>\n<\/ul>\n<p><strong><i>Topical Therapies and Haemostatic Dressings<\/i><\/strong><\/p>\n<ul>\n<li><strong>Topical Glyceryl Trinitrate<\/strong> (Grade D), due to inconsistent procedure-specific data<\/li>\n<li><b>Topical Calcium Channel Blocker<\/b> (Grade D), due to limited procedure-specific evidence<\/li>\n<li><b>Calcium Alginate Dressings<\/b> (Grade D), due to limited procedure-specific evidence<\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n\t<div id=\"gap-1533432182\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1533432182 {\n  padding-top: 30px;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"social-icons share-icons share-row relative full-width text-center\" ><a href=\"https:\/\/www.facebook.com\/sharer.php?u=https:\/\/www.esrahellas.gr\/en\/prospect-recommendations\/haemorrhoid-surgery\/\" data-label=\"Facebook\" onclick=\"window.open(this.href,this.title,'width=500,height=500,top=300px,left=300px'); return 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