None listed
Conditions
Brief summary
The study involves double blinded randomised controlled trial, the surgeon is blinded to which local anaesthetic is used and the assessor is also blinded to which agent has been used. Pudendal nerve block is performed by the colorectal surgeon prior to preceeding to perform open haemorrhoidectomy
Interventions
Naropin versus marcaine in controlling postoperative pain after open haemorrhoidectomy. One group recieves 20 mls of Naropin 0.75% ( 150 mgs)administered as a local injection near the course of the pudendal nerve. 10 mls will be admisnistered on each side. The other group will receive 20 mls of Marcaine 0.5%( 100 mgs) admisnistered as before. In regards to the surgery itself; it is open haemorroidectomy, done under GA. patient is positioned in lithotomy position. LA is administred as described before. Haemorroids are excised. Haemostasis secured . All patents will be discharged home with oral metronidazole 400mg TDS for 5 days and oral endone tablets of 5 mg for pain as required by patient.
Sponsors
Study design
Eligibility
Inclusion criteria
All adult participants who have haemorrhoids and require surgery.
Exclusion criteria
Exclusion criteria: Allergic to either local anaesthetic agents or refuse to participate in the study. Pregnancy: no unnecessary general anaesthetic Children/young people: can't consent to study, and also their prticipation in answering the questionnaire maybe subjectively inadequate. people highly dependent on medical care: inadequate consent and unable to participate in the questionnaire.