Pain, Postoperative
Conditions
Keywords
Hemoroidectomy
Brief summary
Post-operational pain is the most common problem relating to haemorrhoidectomy. This study aims to evaluate the postoperative effects of Anugel a hydrogel impregnated multi component sponge vs gelatine sponge comparatively.
Detailed description
The patients were placed in the lithotomy position. Haemorrhoids (piles) were later located through exploration. The piles were dissected using ligasure. After completing the dissection, bleeding was controlled and either Anugel or the gelatine sponge (SpongostanTM) is inserted in to the rectum as determined by patient allocation. The patients were monitored post operation and 5 days following the surgery. Pain was measured using the VAS scale and use of pain medication was monitored.
Interventions
A calibrated sponge impregnated with hydrogel is inserted to the rectum post hemoroidectomy.
A gelatine sponge is inserted in to the rectum pos hemoroidectomy.
Sponsors
Study design
Intervention model description
Research staff used a computer-based tool to allocate the ligasure haemorrhoidectomy patients randomly to either Group 1 (n=56) who received standard anal gelatine sponge (SpongostanTM) or Group 2 (n-54) to a layered hydrogel sponge (AnugelTM) following surgery. Encryption concealed the allocation until the patient's details had been logged.
Eligibility
Inclusion criteria
* Haemorrhoid (grade 3-4)
Exclusion criteria
* Repeating cases, additional (non haemorrhoid related) complications
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Reduction | 5 days | Amount of pain patients feel post operation. Post surgery and on days 1 and 5 the pain felt by the patient will be measured according to the VAS scale, either in hospital or during hospital visit. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Use of analgesics | 5 days | The frequency and dose of analgesics for pain management is monitored post operation, on day 1 and day 5 |
Countries
Turkey (Türkiye)