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Day-case haemorrhoidectomy.

L Hunt1, A J Luck, G Rudkin

  • 1Department of Surgery, Leicester Royal Infirmary NHS Trust, UK.

The British Journal of Surgery
|April 1, 1999
PubMed
Summary
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Day-case ligation excision haemorrhoidectomy is feasible, with most patients discharged same-day. This approach ensures good pain and nausea control, leading to high patient satisfaction.

Area of Science:

  • Colorectal Surgery
  • Surgical Outcomes
  • Minimally Invasive Procedures

Background:

  • Traditional haemorrhoidectomy often requires inpatient stays.
  • Assessing the feasibility of day-case surgery for haemorrhoidectomy is crucial for improving patient care and resource utilization.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of performing ligation excision haemorrhoidectomy as a day-case procedure.
  • To determine patient satisfaction and complication rates associated with day-case haemorrhoidectomy.

Main Methods:

  • A standardized protocol for anaesthesia, pain management, and nausea control was implemented for patients undergoing day-case haemorrhoidectomy.
  • Patients received daily home nursing support post-discharge.
  • Pain, nausea, and patient satisfaction were systematically assessed.

Related Experiment Videos

Main Results:

  • 82% of patients were discharged on the same day of surgery, with all discharged within 26 hours.
  • Pain and nausea were effectively managed.
  • 86% of patients reported high overall satisfaction with the day-case procedure.

Conclusions:

  • Ligation excision haemorrhoidectomy can be safely and successfully performed as a day-case procedure.
  • Day-case haemorrhoidectomy offers a viable alternative to inpatient care, with high patient satisfaction and manageable complications.