To evaluate whether receiving enema before anal surgery or not affects the postoperative recovery and complications.
For patients undergoing anal surgery, some of them receive enema as doctors' preference before the surgery in consider to lower postoperative complications e.g. infection, while others do not. These choices are often determined by surgeons' personal preference according to their experiences due to lack of evidence from researches. Hemorrhoidectomy and fistulotomy are the most common two types of surgery in colon and rectal surgery division in Shuang Ho hospital, where top three quantities of hemorrhoidectomy in Taiwn have been performed.Therefore, we conducted a randomized controlled trial to evaluate the benefits of enema before anal surgery and possible waste of medical resources.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
282
Taipei Medical University Shuang-Ho Hospital
New Taipei City, Taiwan
Pain score
record max pain score(visual analog scale:0-10) each day
Time frame: On postoperative day 0 to day 7
Consumption of analgesics
daily consumption of oral analgesics from post-operative day 0 to day 7
Time frame: On postoperative day 0 to day 7
Incidence of surgical site infection
Surgical site infection was defined as hospital admission for infection management or need for surgical intervention to manage the wound.
Time frame: On postoperative day 0-30
Incidence of Urinary retention
patients requiring foley catheterization during hospital stay
Time frame: On postoperative day 0 to day 7
First defecation after surgery
Time between first defecation and operation
Time frame: On postoperative day 0 to day 7
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