POSTOPERATIVE CARE STRATEGIES FOR ANORECTAL WOUNDS AFTER HEMORRHOIDECTOMY: FOCUS ON PAIN MANAGEMENT AND WOUND CLEANING

Abstract

Postoperative management following hemorrhoidectomy is crucial to promote optimal wound healing, reduce pain, and prevent complications. This review highlights current strategies in pain management and wound care based on recent evidence. Topical agents such as glyceryl trinitrate (GTN), sucralfate, metronidazole, and calcium channel blockers have shown significant efficacy in pain reduction, though some—like GTN—are associated with side effects such as headaches. Sucralfate and metronidazole are particularly effective in both analgesia and wound healing with minimal complications. The incorporation of multimodal analgesia and alternative methods like acupuncture has also been explored to improve patient outcomes. Furthermore, the use of cleansing creams and topical antibiotics contributes to faster wound healing and earlier return to daily activities. Comparative data suggest that combining these strategies may enhance recovery and reduce opioid dependency. Future investigations should aim to optimize these interventions and evaluate long-term benefits.