Various Strategies to Reduce Acute Post Hemorrhoidectomy Pain: A Comparative Study

Zagazig University150 enrolled

Overview

Since post hemorrhoidectomy pain is a severe and common post operative symptom so there is a need to find a suitable method for reducing this pain, up to our knowledge, this the first study in ZUH to compare between ketrolac, light Marcaine, corticosteroids and diclofenac sodium injection at surgical site for relieve of post operative pain. This is a randomized controlled comparative prospective clinical trial.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

150

Conditions

Acute Post Operative Pain

Interventions

ketorolac and light marcaineDRUG

local injection at surgical site of 30 mg ketorolac and 7-1.5 mg\\kg\\dose light marcaine

light marcaineDRUG

local injection at surgical site of 7-1.5 mg\\kg\\dose light marcaine

Corticosteroids injectionDRUG

local injection at surgical site of 40 mg\\ dose of dexamethasone

Eligibility

Sex: ALLMin age: 18 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * both sex. * age from 18 to 60. Exclusion Criteria: * patient refusal. * patients with associated ano-rectal diseases such as fissures, fistulas, ano-proctitis, recurrent or thrombosed hemorrhoids and ano-rectal malignancy. * patients with liver cell failure. patients unfit for surgery according to American Society of Anesthesiologists.

Locations (1)

Zagazig University Hospitals

Zagazig, zagazig, Egypt

Outcomes

Primary Outcomes

age

adults from 18 to 60 years old

Time frame: within 2 days before operation

sex

both sex were included

Time frame: within 2 days before operation

number of hemorrhoids

number of hemorrhoids clinically assessed

Time frame: within 2 days before operation and intra-operatively

degree of hemorroids

degree of hemorroids clinically assessed

Time frame: within 2 days before operation and intra-operatively

post operative pain

post operative assessed using visual analogue scale, minimum score is zero means painless and maximum score 10 means very painful

Time frame: 1st, 2nd 3rd, 7th, 14th days post-operatively

ambulation

early ambulation is evaluated in patients post-operatively

Time frame: from 1st to 3rd day post-operatively

return to work

first time to return to work is evaluated

Time frame: from one day to one month post-operatively

patient satisfaction

patient satisfaction about post-operative pain is assessed using customer satisfaction score. Minimum score is 0 and means very unsatisfied, maximum score is 10 and means very satisfied

Time frame: from one day to one month post-operatively

Data from ClinicalTrials.gov

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