Background
hemorrhoids, postoperative pain, pain
DISEASE, HEMORRHOIDS, HEMORRHOIDS
Hemorrhoids is the most prevalent anal disease with various management options as per the choice of patients and his surgeon which range from conservative treatment (dietary and sclerotherapy) to surgical methods like band ligation and excision according to the grade of hemorrhoids [Anorectal surgery requires adequate anesthesia due to its multiple nerve supply [Controversial results have been published before as to the occurrence of pain following open hemorrhoidectomy under local anesthesia versus spinal anesthesia or general anesthesia. In the United Kingdom and in Brazil, studies found a similar mean pain scores in 10 days follow-up [Despite the use of different anesthetic techniques, postoperative pain remains a major problem in up to 40% of patients during postoperative period [