This study wants demonstrate that the use of 0.4% nitroglycerin ointment can reduce the postoperative pain related to anorectal spasm (anismus) while performing a stapled haemorrhoidopexy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
40
Local endoanal application 2 times a day
Local endoanal application of lidocaine cloridrato 2.5% ointment 2 times a day
Oneday-Day Surgery Unit, II Faculty of Medicne and Surgery, Sapienza University of Rome
Rome, Italy
Postoperative pain related to upper anal canal pressure increasing (yes or no)
To evaluate if the pain post stapled haemorrhoidopexy is related to an increased anal resting pressure or not. The presence of anorectal spasm was assessed by clinical examination and anorectal manometry
Time frame: from the intervention to 1 month
Postoperative pain remission
To assess postoperative pain remission
Time frame: from 1 to 90 days after intervention
Postoperative anal resting pressure at pain remission
We evaluate with anorectal manometry the anal resting pressure at the time of pain remission
Time frame: from 1 to 90 days after intervention
Duration of therapy
To evaluate how many days of therapy are needed to obtain pain remission
Time frame: from 1 to 90 days after intervention
Use of additional analgesic
To evaluate the use of additional drugs respect to standard therapy
Time frame: from 1 to 90 days to intervention
Postoperative pain intensity
To evaluate the intensity of postoperative pain assessed by VAS (visual analogue scale)
Time frame: from 1 to 90 days after intervention
Patients satisfaction
To evaluate the satisfaction of the patients, assessed by a questionnaire (scale from 1 to 5)
Time frame: 45 days after intervention
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