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Pycnogenol® supplementation to relieve symptoms after hemorrhoidectomy
Gianni Belcaro1,2, Roberto Cotellese3, Marcello Corsi4,5
1Irvine3 and Nicolaides Labs, Department of Circulation Sciences, Spoltore, Pescara, Italy - cardres@abol.it.
Minerva Surgery
|June 7, 2024
Summary
Pycnogenol® supplementation significantly reduced pain, discomfort, and constipation after hemorrhoidectomy. This natural supplement improved quality of life and recovery time for patients undergoing surgical treatment for hemorrhoids.
Area of Science:
- Vascular Surgery
- Phytotherapy
- Postoperative Recovery
Background:
- Hemorrhoids are a prevalent condition causing significant discomfort and reduced quality of life, often requiring surgical intervention like excisional hemorrhoidectomy (EH).
- Postoperative symptoms, including edema, pain, and altered bowel habits, commonly complicate recovery after hemorrhoidectomy.
- Standard management often includes dietary fiber, exercise, and minimizing straining to prevent recurrence.
Purpose of the Study:
- To evaluate the efficacy of Pycnogenol® in alleviating common postoperative symptoms following excisional hemorrhoidectomy.
- To assess the impact of Pycnogenol® supplementation on patient quality of life and return to daily activities post-surgery.
Main Methods:
- A registry study involving 38 patients undergoing their first excisional hemorrhoidectomy.
- Participants received either Pycnogenol® (150 mg/day) plus standard management (SM) or SM alone (control group) for one month pre- and post-surgery.
- Postoperative pain, discomfort, constipation, quality of life, bleeding, and return to activity were systematically scored and compared between groups.
Main Results:
- Patients supplemented with Pycnogenol® reported significantly lower scores for pain, discomfort, and constipation at 10 and 30 days post-surgery compared to controls.
- A higher quality-of-life score and a faster return to daily activities were observed in the Pycnogenol® group.
- The need for pain medication was significantly reduced in the Pycnogenol® group between days 10 and 30 post-surgery.
Conclusions:
- Pycnogenol® demonstrates effectiveness in managing and preventing postoperative symptoms after hemorrhoidectomy in this pilot study.
- The supplement appears to reduce edema and perianal swelling, contributing to a more comfortable and controlled recovery.
- Further research with larger cohorts and diverse surgical approaches is warranted to confirm these promising findings.
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