Haemorrhoid surgery-specific evidence

IM corticosteroid versus placebo

Pre-operative

One study investigated the effects of IM betamethasone, 12 mg in 2 ml (n=24), versus placebo (n=18), administered 30 minutes prior to open (Milligan-Morgan) haemorrhoidectomy surgery (Aasboe 1998); LoE 1)

IM corticosteroid versus conventional oral NSAID

Pre-operative

In one study, IM betamethasone, 12 mg administered 30 minutes prior to surgery, was compared with oral diclofenac, 200 mg per day (4 x 50 mg/day) administered after surgery (n=20/group), in patients undergoing closed Ferguson-type haemorrhoidectomy (Kisli 2005); LoE 2)]