Muhammad Farooq Umer, Syed Hussain Mehdi, Abdullah-el Muttaqi, Syed Muhammad Ashraf, Irfan Sheikh, Marvi Mahar.
Clinical Use of Diosmin (Daflon 500) for treatment of Symptoms after Haemorrhoidectomy.
Pak J Surg Jan ;28(2):141-4.

Objective: To evaluate the role of diosmin (Tab Dafl on 500mg) in post haemorrhoid pain and bleeding. Design: Prospective and observational study. Sett ing and duration: Department of Surgery, Jinnah Medical College Hospital from October 2010 to March 2012. Methodology: A total 64 patients were included in this study. Inclusion criteria was patient above 18 years with symptomatic late 2nd degree, 3rd degree and 4th degree haemorrhoids. Exclusion criteria were infl ammatory bowl disease and bleeding diathesis. All patients undergone Milligan Morgan haemorrhoidectomy and were give Tab Daffl on 500mg 2 Tab TDS. Post operative pain bleeding and discharge was assessed using verbal response for pain bleeding as minor, moderate and severe grades. Results: On fi rst post operative day maximum number of patients (50 %) observed mild pain. (28 %) patients complained moderate pain on 2nd post op day pain was mild (70.3 %). At the end of fi rst week (84.3 %) patients were pain free. Regarding bleeding minor bleeding was noted in (90.6 %) patients. At the end 1st week only (6.2 %) reported minor bleeding. Conclusion: Diosmin (Dafl on 500mg) has a defi nite role in reducing the Severity and duration of post haemorrhoid pain, bleeding and discharge.

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