[Hemorrhoidal surgery: new trends for day-case surgery].

Area of Science:

• Colorectal Surgery
• Ambulatory Surgery
• Pain Management

Context:

• Day-case hemorrhoidal surgery is not widely adopted despite recommendations.
• Postoperative pain, urinary retention, and bleeding risk are key barriers to ambulatory management.

Purpose:

• To highlight the challenges and necessary strategies for developing day-case hemorrhoidal surgery.
• To emphasize the importance of effective postoperative pain control for ambulatory hemorrhoid procedures.

Summary:

• Postoperative pain, urinary retention, and bleeding are significant impediments to the widespread adoption of day-case hemorrhoidal surgery.
• Effective pain management strategies, including pudendal blocks and adapted anesthetic techniques, are essential.
• Careful postoperative follow-up is also critical for successful ambulatory hemorrhoid treatment.

Impact:

• Facilitating the development and wider implementation of day-case hemorrhoidal surgery.
• Improving patient outcomes and recovery by addressing key postoperative concerns.
• Reducing healthcare costs and improving patient convenience through successful ambulatory procedures.