Uso de dosis única de betametasona en el hemorroidectomía convencional

García-Nuñez, Lius Manuel; Belmonte-Montes, Carlos; Guerrero-Guerrero, Víctor Hugo
May 2007
Revista de Sanidad Militar;may/jun2007, Vol. 61 Issue 3, p152
Academic Journal
Introduction. Anorectal pain is the most common symptom in patients undergoing conventional hemmorrhoidectomy. Management with NSAID is not effective as a analgesic therapy. Steroids are very effective inhibitors of inflammatory process and anorectal pain mediators. We consider that a intramuscular unique-doses of bethametasone in patients undergoing conventional hemmorrhoidectomy has an important analgesic effect. Objective. To demonstrate that an intramuscular unique-doses of bethamesone in the immediate postoperatory period is effective to decrease anorectal pain in patients undergoing conventional hemorrhoidectomy. Methods. A total of 47% undergoing conventional hemorrhoidectomy (Ferguson's procedure) were divided in two groups. A (22 patients) with application of bethamesone as intramuscular unique-dose in the postoperative immediate period and B (25 patients) controlled with placebo. Patients were evaluated with analogue visual scale to determine postoperative anorectal measurement in 24 hours, weekly in 1st to 4th weeks and monthly in 2nd to 4th months. Results. Anorectal pain was minor in group A in all the programmed evaluations. Conclusions. Hence, we consider that a intramuscular unique doses bethamesone administered in the immediate postoperative period in patients undergoing conventional hemorrhoidectomy has important analgesic effect.


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