Hemorrhoidectomy. First degree hemorrhoids
Conditions
Interventions
Intervention 1: Intervention group: Intervention group: Bilateral SESPB block + standard care. Intervention 2: control group: Receive general anesthesia with LMARoutine pain management with IV paracet
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All patients who are candidates for perineal surgery (such as hemorrhoidectomy, fistula surgery, or anal fissure) both sexes
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity. Timepoint: Immediately upon awakening (T0), 2 hours postoperatively (T2), 6 hours postoperatively (T6), 12 hours postoperatively (T12), 24 hours postoperatively (T24). Method of measurement: Numeric Rating Scale 0-10. | — |
Secondary
| Measure | Time frame |
|---|---|
| Analgesic Consumption. Timepoint: Exact recording of type, dose, and timing of all analgesics (morphine, paracetamol, ketorolac) within 24h. Method of measurement: Total morphine milligram equivalents (MME) calculated per WHO guidelines.;Hospital Stay Duration. Timepoint: Exact discharge time (in hours) recorded from surgery end time. Method of measurement: Compared with the hospital’s standard average.;Patient Satisfaction. Timepoint: end time. Method of measurement: Assessed via 5-point Likert scale (1: Very dissatisfied, 5: Very satisfied) at discharge.;Adverse Effects. Timepoint: Continuous monitoring for up to 24 hours after the operation. Method of measurement: Documented per CTCAE v5.0 criteria (nausea, vomiting, hypotension, motor weakness). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSawalan Aidenlou
Iran University of Medical Sciences
Outcome results
None listed