Fissure;Anal, Fistula;Rectal, Hemorrhoids
Conditions
Brief summary
Double-blinded multicenter randomized clinical trial to evaluate the efficacy and safety of CLIFE2 (lidocaine, referred as treatment A) respect CLIFE1 (lidocaine plus diclofenac, referred as treatment B) in benign anorectal surgery.
Detailed description
120 patients were randomly assigned to two groups (60 in each group). The study was conducted in two parallel groups, with 1:1 randomization stratified by type of surgery and centre. Treatment with CLIFE 1 and CLIFE 2 was applied from day 1 to day 6 post-surgery
Interventions
anesthesics plus antiinflammatory, CLIFE1 topical gel containing lidocaine plus diclofenac anesthesics plus antiinflammatory
local anesthesics, CLIFE2 topical gel containing lidocaine local anesthesics
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients undergoing benign anorectal surgery (out or inpatients), with the following diagnoses: anal fissure, fistula, hemorrhoids * Use of subarachnoid anesthesia with lidocaine
Exclusion criteria
* Allergy or Hypersensitivity to lidocaine or other local anesthesics. * Patients not accepting subarachnoid anesthesia * Patients with general anesthesia * Hypersensitivity or contraindication to acetylsalicylic acid. * History of gastrointestinal hemorrhage or perforation due to nonsteroidal anti-inflammatory drugs (NSAIDs) use * Active or relapsing peptic ulcer/gastrointestinal hemorrhage * Serious heart failure. * Active Crohn disease * Active ulcerative colitis * Moderate or sever renal failure * Severe liver disfunction * Coagulation disorders requiring treatment with anticoagulant drugs * Proctitis (due to autoimmune disease, foreign substances, sucally transmitted diseases * Treatment with: Beta blockers, calcium channel blockers (verapamil and diltiazem), anti-arrhythmics (digoxin, amiodarone), ivabradine, lithium, steroids * Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| mean level of pain, as assessed by visual analog scale (VAS) | 3 days post-surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| safety evaluation as assessed by recording fo adverse events | 6 days post-surgery | recording of adverse events |
| Mean level of pain (VAS) at day 3 post-surgery | 6 days post-surgery | — |
| Level of pain (VAS), assessed by Andersen scale | 6 days post-surgery | — |
| demographic and clinical characteristics-2 | baseline | age |
| analgesics use | 6 days post-surgery | — |
| patient satisfaction | 6 days post-surgery | Satisfaction questionnaire about the efficacy of treatment (6 levels) |
| demographic and clinical characteristics-1 | baseline | sex |
| Pain relief | 6 days post-surgery | Question about pain relief in comparison with the last application (scores from 0 to 4). |