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Indian Journal of Public Health Research & Development
Year : 2018, Volume : 9, Issue : 6
First page : ( 480) Last page : ( 483)
Print ISSN : 0976-0245. Online ISSN : 0976-5506.
Article DOI : 10.5958/0976-5506.2018.00600.9

Hemorrhoidectomy using Hemorrhoidal Artery Ligation and Rectoanal Repair (HAL-RAR) Technique to Reduce Level of Pain Perceived by Patients Postoperative

 Warsinggih1,  Prihantono1

1Senior Lecturer of Department of Surgery, Faculty of Medicine, University of Hasanuddin, Makassar, Indonesia

Online published on 2 July, 2018.


Background: Research purposes

This study aims to determine the relationship of pain levels in patients using the Numeric rating scale in patients hemorrhoid operation with Hemorrhoidal Artery Ligation and Rectoanal Repair (HAL-RAR) method in Siloam Hospital Makassar.

Research methods

This study was an observational study with the cross-sectional analytic study. Total samples of this study were 56 hemorrhoid patients operated using HAL-RAR method. Data collected including age, gender, hemorrhoidal grading, the number of actions HAL-RAR and levels of pain perceived by the patient. Analysis of data using ANOVA and t-test.

Research result

The results showed 31 patients (55.4%) were in the age category 18–40 years. 30 patients (53.6%) were in grade III hemorrhoids. The number of actions in the HAL-RAR method most 4 actions with presentations HAL-RAR 66.1% and 60.7%. There are significant research results shows HAL-RAR operation techniques for the gender of ≥3 days postoperatively with a value of p = 0.046, correlation with age morbidity in patients with hemorrhoidal surgery during the operation with a value of p = 0.031 and there is a relationship grading hemorrhoids with pain patients p = 0.000


Hemorrhoidal surgery techniques with the HAL-RAR method prove in reducing the level of pain experienced by the patient.



Hemorrhoids, HAL-RAR, numeric rating scale.


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