PROSPECT guideline for haemorrhoid surgery: A systematic review and procedure-specific postoperative pain management recommendations
Methodological detailsPROSPECT procedure-specific guideline, PROSPECT methodology
- PROSPECT procedure-specific guideline
- PROSPECT methodology
Recommendations
As issued by the authors
Paracetamol and NSAIDs or cyclo-oxygenase-2 selective inhibitors
Systemic steroids
Bilateral pudendal nerve block
Topical metronidazole (oral metronidazole abandoned)
Topical diltiazem, topical sucralfate or topical glyceryl trinitrate
Intramuscular botulinum toxin can also be administered
Recommendations on perianal infiltration invalidated
Choice of surgery mostly left to the surgeons' discretion; excisional surgery is more painful than other procedures
Original publication
PROSPECT guideline for haemorrhoid surgery: A systematic review and procedure-specific postoperative pain management recommendations. Eur J Anaesthesiol Intensive Care. Published 26 May 2023. doi:10.
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