Anal post-operative pain is one of the principal issues of surgical treatment of hemorrhoids and remains a distressing problem, for patients and physicians. Recent studies have concluded that appropriate postoperative pain management leads to higher patient satisfaction, earlier mobilization, fewer drug complications, eliminated adverse events, faster recovery, and decreased health care cost. However, despite advances in pain medicine, postoperative pain control remains problematic and remains an important unresolved issue that causes expense and patient dissatisfaction. Therefore, this situation calls for multi-modal pain management, choosing medication, dosing regimens and route of administration in an individualized way to optimize efficacy and minimize adverse effects. Multiple approaches, including pharmacological and surgical interventions, have been used to manage pain after hemorrhoidal surgery. Our aim was to check the latest instruments and strategies available in literature designed to find practical solutions to this challenging problem.
Keywords: Hemorrhoidectomy; anal; drugs; management; pain; surgery.
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