. 2020 Sep 10;36(3):485–496. doi: 10.1007/s10103-020-03142-8

Table 4.

Postoperative pain and return to normal activities

Study		Pain		Postoperative analgesia	Return to normal activities (mean in days ± SD)
Study		Score (mean VAS scale from 0 to 10 ± SD)	Timepoint	Postoperative analgesia	Return to normal activities (mean in days ± SD)
Laser hemorrhoidoplasty
Karahaliloglu et al. ⁸		-		-	-
Jahanshahi et al. ¹¹		-		-	-
Brusciano et al. ¹²		2 (0–3)^a 0	0–3 days 4 days	-	1-2^a
Plapler et al. ¹³	LH/HC	0.8 ± 1.1/1.8 ± 0.7^c	0–28 days	Diclofenac^b	-
Naderan et al. ¹⁴	LH/HC	5.7 ± 1.5/5.2 ± 1.3 4.2 ± 1.4/5.2 ± 1.2 2.9 ± 1.5/4.1 ± 1.3 1.6 ± 1.5/2.7 ± 1.5	6 h 12 h 18 h 24 h	Morphine (in the recovery room)^b	-
Alsisy et al. ¹⁵	LH/HC	2 (1–8)^a/6 (3–10)^{a, c}	1 day	Oral analgesia^b	7.5 ± 1.8 vs 22.9 ± 3.9^c
Poskus et al. ¹⁶	LH/MP/HC	3.1/2.7/5.0^c	-	-	15 (5–14)^a vs 24 (9–30)^a vs 30 (14–35)^{a, c}
Hemorrhoidal laser procedure
Salfi et al. ⁹		-		-	-
Giamundo et al. ¹⁷		1.4 ± 1.7	0–3 days	-	-
Crea et al. ¹⁸		0 (0–2)^{d, e} 0 (0–2)^{d, e}	1 week 1 month	-	Immediately
De Nardi et al. ¹⁹		0.1 (0–1)^{a, e} 0.1 (0–2)^{a, e}0.0^e	3 months 12 months 24 months	Paracetamol^b	0–3^a
Boarini et al. ²⁰		1.4 (0–3)^a	0–2 h	-	-
Giamundo et al. ²¹		1.1 (0–5)^d 0.9 ± 0.8 1.1 ± 1.0	2 weeks 6 months 12 months	Paracetamol^b	-
Giamundo et al. ²²	HeLP/RBL	1.1 (0–2)^d/2.9 (1–5)^{c, d} 0.8 (0–2)^d/1.0 (0–3)^d	1–3 days 2 weeks	-	-

VAS visual analog scale, SD standard deviation, “-” not available, LH laser hemorrhoidoplasty, HC hemorrhoidectomy, MP mucopexy, HeLP hemorrhoidal laser procedure, RBL rubber band ligation

^aExpressed as range

^bAdministered on request

^cthe difference was statistically significant

^dExpressed as median (range)

^eVAS scale ranged from 0 to 3