Comparison Study of the Effect of Enema in Anal Surgery

The Effect of Enema on Postoperative Recovery and Complications in Anal Surgery: A Randomized Controlled Study

To evaluate whether receiving enema before anal surgery or not affects the postoperative recovery and complications.

For patients undergoing anal surgery, some of them receive enema as doctors' preference before the surgery in consider to lower postoperative complications e.g. infection, while others do not. These choices are often determined by surgeons' personal preference according to their experiences due to lack of evidence from researches. Hemorrhoidectomy and fistulotomy are the most common two types of surgery in colon and rectal surgery division in Shuang Ho hospital, where top three quantities of hemorrhoidectomy in Taiwn have been performed.Therefore, we conducted a randomized controlled trial to evaluate the benefits of enema before anal surgery and possible waste of medical resources.

Surgical site infection was defined as hospital admission for infection management or need for surgical intervention to manage the wound.

Inclusion Criteria: Patients who underwent hemorrhoidectomy, including circular stapled hemorrhoidopexy (PPH) and conventional hemorrhoidectomy Patients who underwent fistulotomy or fistulectomy Exclusion Criteria: Emergency surgery Surgery other than circular stapled hemorrhoidopexy (PPH) and conventional hemorrhoidectomy, e.g., rubber band ligation, injection treatment, and cryosurgery Complicated fistulectomy, e.g., requiring surgical drainage and seton placement Other types of anal surgery, e.g., anal fissure and colorectal cancer Liver cirrhosis Coagulation dysfunction Bedridden Human immunodeficiency virus infection