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Related Experiment Video

Updated: Jun 13, 2025

Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery
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Ice Packing Versus Warm Sitz Baths for Post-hemorrhoidectomy Pain Management: A Randomized Controlled Trial.

Pin-Chun Chen1, Yi-Kai Kao1, Po-Wen Yang1

  • 1Division of Colon and Rectal Surgery, Department of Surgery, E-DA Hospital, I-Shou University, Kaohsiung, Taiwan.

Diseases of the Colon and Rectum
|March 27, 2025
PubMed
Summary
This summary is machine-generated.

Ice packing significantly reduces post-hemorrhoidectomy pain and swelling compared to warm sitz baths. This method also promotes better wound healing and requires less opioid medication, offering a superior recovery option.

Keywords:
HemorrhoidectomyIce packingPostoperative painWarm sitz bathWound healing

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Area of Science:

  • Colorectal Surgery
  • Postoperative Care
  • Pain Management

Background:

  • Post-hemorrhoidectomy pain management is challenging.
  • Warm sitz baths are a common but debated intervention.

Purpose of the Study:

  • To compare the efficacy of ice packing versus warm sitz baths for post-hemorrhoidectomy pain and wound healing.

Main Methods:

  • Randomized controlled trial with 166 patients undergoing Ferguson hemorrhoidectomy.
  • Patients received either ice packing or warm sitz baths.
  • Primary outcomes: pain (VAS) and swelling. Secondary outcomes: wound healing (REEDA score), analgesic consumption, adverse events.

Main Results:

  • Ice packing group showed lower pain scores within 16 hours (p < 0.01).
  • Reduced swelling at 24 hours (p = 0.03) and superior wound healing at 7 days (p = 0.02) in the ice packing group.
  • Lower 24-hour morphine consumption (p < 0.01) in the ice packing group.

Conclusions:

  • Ice packing is more effective than warm sitz baths for post-hemorrhoidectomy pain, edema, and wound healing.
  • Ice packing has a comparable safety profile and reduces opioid requirements.
  • Study limitations include single-center design and short follow-up.