Pre-operative recommendations for Haemorrhoid Surgery

Pre-operative recommendations for Haemorrhoid Surgery

Pre-operative recommended

Systemic analgesia –       Parenteral glucocorticoids (Grade B) –       Conventional NSAIDs (Grade B), COX-2-selective inhibitors (Grade B), and paracetamol (Grade B), administered in time to provide sufficient analgesia in the early recovery period Alternative interventions –        Laxatives (Grade A) –        Oral metronidazole (Grade A) LA for analgesia –        Perianal LA infiltration, as an adjunct to anaesthesia (Grade A) –        Nerve blocks, as adjuncts to anaesthesia (Grade A)