The relief of pain after anorectal surgical procedures continues to be a problem. Although improvements in technique have provided some alleviation, the usual approach is still not completely satisfactory. It is the purpose of this paper to present a series of 50 cases treated with the local application of hydrocortisone ointment in which more encouraging results have been obtained.
MATERIALS AND METHODS
It must be stressed that these cases represent only personal clinical observations. No laboratory data other than those routine for such cases were obtained.All the cases were treated by surgery for hemorrhoids, fissures, fistulas, and combinations thereof. In each case there was the common denominator of removal of mucous membrane and skin. Particular attention was paid to the removal of adequate skin for drainage purposes in each case.Two products were employed: an ointment containing 1% hydrocortisone acetate with 0.5% neomycin sulfate (Neo-Cortef ointment, Upjohn), and an