A Prospective Randomized Open Label Trial To Compare Effects Of Cream Containing Aloe Vera Versus 2% Xylocaine Jelly On Post Hemorrhoidectomy Pain

Abstract

Background and objectives ABSTRACT Open haemorrhoidectomy although safe routinely carried out surgery, post haemorrhoidectomy pain is frequent complaint. Our study aims at reduction of post haemorrhoidectomy pain. The objective of this study is to compare the efficacy of peri anal application of Aloe vera cream versus 2% xylocaine in post haemorrhoidectomy defecation pain. Methodology 50 adult patients admitted to department of surgery posted for elective open haemorrhoidectomy in KLES Dr. Prabhakar Kore Hospital & MRC, Belgaum between age group 18 to 60 years suffering from grade 3 and grade 4 haemorrhoids were included in the study. 50 patients undergoing open haemorrhoidectomy were prospectively randomized into 2 groups. Group ( A ) – Study group: Patients applied Aloe vera cream post surgery three times daily. Group ( B ) - Control group: Patients applied 2% xylocaine jelly three times daily at the same location. The treatment was carried out till post operative day 7. The evaluation of postoperative pain was done at fixed time interval according VAS. Analgesic requirements were analyzed. Results Mean pain scores were significantly lower in Aloe vera group on 48 hrs, Day 3 , Day 7 post surgery ( p=<0.0001) as compared with group B. . The mean total NSAID’s usage in group A was lower as compared to group B and was found to be statistically significant ( p<0.001) . IV Conclusion To conclude, Aloe vera cream is effective in post haemorrhoidectomy pain and it significantly reduced post defecation pain when compared with conventional 2% xylocaine jelly