Hemorrhoidectomy Clinical Trial
Official title:
Intraoperative Use of Perineal Block for Hemorrhoidectomy
Perineal block with the anesthesia of the pudendal nerve`s terminal branches allows to perform a hemorrhoidectomy with the optimal intraoperative and postoperative analgesia The purpose of this study is to assess the effectiveness of the intraoperative use of perineal block with spinal anesthesia to reduce postoperative pain and the amount of used analgesics.
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.
Traditionally spinal or general anesthesia is used in proctological practice. However, the
number of studies about using of perianal local anesthesia, both in combination with general
anesthesia and as a separate practice has been increasing recently.
Perineal block with the anesthesia of the pudendal nerve`s terminal branches allows to
perform a hemorrhoidectomy with the optimal intraoperative and postoperative analgesia. The
drugs used for this have some pharmacological differences in the duration of the drug and the
form of administration.
The aim of this prospective, randomized, double-blind study is to assess the effectiveness of
the intraoperative use of perineal block with spinal anesthesia to reduce postoperative pain
and the amount of used analgesics.
;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Enrolling by invitation |
NCT06403774 -
Bowel Preparation Before Hemorrhoidectomy
|
N/A | |
| Recruiting |
NCT04361695 -
Preemptive Analgesia for Hemorrhoidectomy
|
N/A | |
| Completed |
NCT03938714 -
Hemorrhoidectomy in Patients With Grade III and IV Disease:Harmonic Scalpel Compared With Conventional Technique
|
N/A | |
| Active, not recruiting |
NCT00932542 -
Eutectic Mixture for Hemorrhoidectomy Postoperative
|
Phase 2/Phase 3 | |
| Completed |
NCT03848468 -
Comparison Study: Ligasure Versus Conventional Hemorrhoidectomy in III and IV Degree Hemorrhoids.
|
N/A |