{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T02:40:14Z","timestamp":1727750414291},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T00:00:00Z","timestamp":1660003200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T00:00:00Z","timestamp":1660003200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Gastroenterol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Post-operative pain is the main problem of hemorrhoidectomy. An adequate pain management can promote early mobilization, fast recovery, and reduce hospitalization costs. This study aimed to investigate the role of preoperative anal dilatation using a standardized anal dilator in reducing post-operative pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This study was conducted using randomized prospective trial with a total of 40 subjects, who were divided into 2 groups. The first group received preoperative anal dilatation using a 33\u00a0mm anal dilator for 20\u00a0min, while the second group did not. The post-operative anal pain, edema, bleeding, and incontinence were observed in the first, second, and seventh day.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>The post-operative pain was significantly lower in the preoperative anal dilatation group for all days of observation (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). The difference of post-operative bleeding and edema between groups were not significant. Fecal incontinence was initially significantly higher in the preoperative anal dilatation group, but the difference was insignificant at the seventh day (<jats:italic>p<\/jats:italic>\u2009=\u20090.500).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Preoperative anal dilatation significantly reduced post-operative pain. The side effect of fecal incontinence was only temporary until the seventh day after surgery.<\/jats:p><jats:p><jats:italic>Trial Registration<\/jats:italic>This trial was registered on Thai Clinical Trials Registry (TCTR) with TCTR identification number TCTR20220314002, on 14\/03\/2022 (retrospectively registered).<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12876-022-02409-4","type":"journal-article","created":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T17:12:30Z","timestamp":1660065150000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of anal dilatation versus no dilatation with a standardized dilator in reducing pain after hemorrhoidectomy: a randomized control trial"],"prefix":"10.1186","volume":"22","author":[{"given":"Imam","family":"Sofii","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Handy","family":"Darmawan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amelia Sophia","family":"Ramadhini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fauzan","family":"Kurniawan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad Shafa","family":"Hanif","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,8,9]]},"reference":[{"issue":"1","key":"2409_CR1","doi-asserted-by":"publisher","first-page":"32","DOI":"10.2174\/1574887115666200406122009","volume":"16","author":"A Chierici","year":"2021","unstructured":"Chierici A, Frontali A. Post-hemorrhoidectomy pain management: the latest news. Rev Recent Clin Trials. 2021;16(1):32\u20138.","journal-title":"Rev Recent Clin Trials"},{"issue":"10","key":"2409_CR2","first-page":"1538","volume":"27","author":"AS Al-Mulhim","year":"2006","unstructured":"Al-Mulhim AS, Ali AM, Al-Masuod N, Alwahidi A. Post hemorrhoidectomy pain: a randomized controlled trial. Saudi Med J. 2006;27(10):1538\u201341.","journal-title":"Saudi Med J"},{"issue":"8","key":"2409_CR3","doi-asserted-by":"publisher","first-page":"1118","DOI":"10.1097\/DCR.0000000000001570","volume":"63","author":"PW Lu","year":"2020","unstructured":"Lu PW, Fields AC, Andriotti T, Welten VM, Rojas-Alexandre M, Koehlmoos TP, Schoenfeld AJ, Melnitchouk N. Opioid prescriptions after hemorrhoidectomy. 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No: KE\/FK\/0083\/EC\/2022 according to the Declaration of Helsinki. The written informed consent to participate was obtained from all participants. It was declared that the data or samples of all participants will be used for educational and research purposes. The experimental protocols and informed consent to participate in this trial were approved by Ethical Committee of Faculty Medicine, Public Health, and Nursing Gadjah Mada University.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"379"}}