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1 Associate Professor, Dept. of General Surgery, North East Medical College, Sylhet, Bangladesh 2 Sonologist, Ibn Sina Hospital Sylhet Ltd, Sylhet 3 Assistant Professor, Dept. of General Surgery, North East Medical College, Sylhet, Bangladesh 4 Associate Professor Surgery (C C), Sheakh Shyera Khatun Medical College, Gopalgonj, Bangladesh 5 Senior Consultant (Surgery), Potuakhali General Hospital, Patuakhali, Bangladesh Abstract Open haemorrhoidectomy is associated with significant postoperative agony and inconvenience. The main cause of postoperative pain is the haemorrhoidectomy wounds, which cause reflex spasm of the involuntary internal anal sphincter and the voluntary external sphincter. Objective: The porpoise of this study is to evaluate effectiveness of 0.2 percent glyceryl trinitrate ointment for pain reduction after open hemorrhoidectomy. Method: During study a planned clinical preliminary was directed. Patients were dispensed to either test gathering (GTN-gathering) or Non-GTN gathering. Complete healing was defined as complete epithelialization. There were 32 patients in the GTN gathering and 37 in Non-GTN gathering. There were no factually huge contrasts in sex, weight, kind of haemorrhoid, sort of medical procedure (emergency or elective), number of hemorrhoids excised, term of medical procedure, and doctor's facility remain and intricacy rate between the gatherings. Result: Pain scores and pain-relieving use were not essentially unique. By week 3, be that as it may, 21 patients in the GTN amass had totally epithelialized wounds contrasted and 9 patients in the Non-GTN gathering (P = 0•006). Just a single patient who got GTN experienced headache requiring suspension of the salve. GTN 0•2 for each penny balm enhanced injury recuperating rates and diminish postoperative torment in this investigation. Conclusion: Post-operative pain was significantly less in GTN-Group in this study. Further study is need for better outcome. Keyword: Haemorrhoidectomy, sphincter, glyceryl trinitrate ointment.

Effectiveness of 0.2 percent glyceryl trinitrate ointment for pain reduction after open Hemorrhoidectomy