INNOVATIVE METHODS FOR TELEMEDICINE MONITORING OF PAIN AFTER HEMORRHOIDECTOMY
DOI:
https://doi.org/10.11603/1811-2471.2020.v.i1.11073Keywords:
telemedicine, hemorrhoidectomy, pain monitoringAbstract
We aimed to compare long-term outcomes in patients undergoing circular stapled hemorrhoidectomy to those who had Milligan-Morgan hemorrhoidectomy.
Material and Methods. 184 patients who underwent Milligan-Morgan hemorrhoidectomy and 312 patients who underwent circular stapled hemorrhoidectomy were reviewed. Long-term follow-up was assessed by using software and telemedicine pain monitoring.
Results. The pain level on the first day in the control group was significantly higher – averaged 8 points compared to 5 points in the main group. On the 15th day, patients in the main group did not fill any pain in the postoperative area. Patients from the control group fill pain after two weeks. All patients in both groups noted that using the software at home gave them a sense of contact with the surgeon.
Conclusions. Compared with Milligan-Morgan hemorrhoidectomy, stapled hemorrhoidectomy resulted in less postoperative pain, shorter operating time, and shorter hospital stay. Using a specialized software allows to eliminate the emotional component and to evaluate the pain level in the postoperative period more realistically.
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