Fluid Restriction
Conditions
Keywords
Stapled hemorrhoidopexy, Fluid restriction, Urinary retention
Brief summary
BACKGROUND: Conventional hemorrhoidectomy leads to a high urinary retention rate and fluid restriction is commonly recommended to minimize complications. However, the need for postoperative fluid restriction among patients who have undergone stapled hemorrhoidopexy is unclear. We aimed to determine whether fluid restriction after stapled hemorrhoidopexy with/without partial external hemorrhoidectomy could reduce urinary retention and postoperative pain. PATIENTS AND METHODS: In this prospective, double-blinded, randomized controlled trial, we enrolled patients who had grade III or IV hemorrhoids and underwent stapled hemorrhoidopexy with/without partial external hemorrhoidectomy; 250 mL/12 h of sterile 0.9% saline was administered to the fluid restriction group after the operation, and 1000 mL/12 h was given to the non-fluid-restriction group. We focused on the need for fluid restriction after stapled hemorrhoidopexy.
Interventions
DRUG1000 mL 0.9% sterile saline
Within 12 h of surgery, the experimental group received 1000 mL 0.9% sterile saline intravenously.
DRUG250 mL 0.9% sterile saline
Within 12 h of surgery, the control group received 250 mL 0.9% sterile saline intravenously.
Sponsors
Tri-Service General Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
20 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* Gr. III-IV hemorrhoids paitents
Exclusion criteria
* Age\<20 or \>80 * Allergy to NSAID or opoids * Impaired renal function * Pregnant or breast feeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| first urination | 1 day | the time to first urination after surgery |
Countries
Taiwan
Outcome results
None listed