Hemorrhoidectomy Clinical Trial
Official title:
Preemptive Analgesia for Hemorrhoidectomy
Preemptive analgesia with the spinal anesthesia allows to decrease pain in hemorrhoidectomy postoperative period. The purpose of this study is to assess the effectiveness of the use of preemptive analgesia with spinal anesthesia to decrease postoperative pain and the amount of used analgesics including opioids.
Hemorrhoidectomy, as has being demonstrated to be an effective method of treatment for stage
III-IV hemorrhoidal disease. However it is associated with intense postoperative pain that
requires the use of multimodal analgesia. Inadequate pain control leads to the prolongation
of admission, increasing the consumption of opioid analgesics, patients dissatisfaction with
treatment.
According to international guidelines of pain management the target level of postoperative
pain should be 3-4 or less Visual Analogue Score (VAS) points. The multimodal analgesia
including Nonsteroidal Anti-Inflammatory Drugs (NSAIDs), acetaminophen and local anaesthetics
are used to reach this aim.
However, there are data on effectiveness of preemptive analgesia in anorectal surgery.
Preemptive analgesia allows decreasing pain in postoperative period after hemorrhoidectomy.
Ketoprophenum is used as an preemptive analgetic agent 1 hour prior to procedure.
The aim of this prospective, randomized, double-blind study is to assess the effectiveness of
the use of preemptive analgesia with Ketoprophenum 10 mg 2 hours before procedure per os with
spinal anaesthesia to decrease postoperative pain and the amount of used analgesics.
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