Hemorrhoids, Fistula
Conditions
Brief summary
To evaluate whether receiving enema before anal surgery or not affects the postoperative recovery and complications.
Detailed description
For patients undergoing anal surgery, some of them receive enema as doctors' preference before the surgery in consider to lower postoperative complications e.g. infection, while others do not. These choices are often determined by surgeons' personal preference according to their experiences due to lack of evidence from researches. Hemorrhoidectomy and fistulotomy are the most common two types of surgery in colon and rectal surgery division in Shuang Ho hospital, where top three quantities of hemorrhoidectomy in Taiwn have been performed.Therefore, we conducted a randomized controlled trial to evaluate the benefits of enema before anal surgery and possible waste of medical resources.
Interventions
Sponsors
Taipei Medical University Shuang Ho Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Patients who underwent hemorrhoidectomy, including circular stapled hemorrhoidopexy (PPH) and conventional hemorrhoidectomy * Patients who underwent fistulotomy or fistulectomy
Exclusion criteria
* Emergency surgery * Surgery other than circular stapled hemorrhoidopexy (PPH) and conventional hemorrhoidectomy, e.g., rubber band ligation, injection treatment, and cryosurgery * Complicated fistulectomy, e.g., requiring surgical drainage and seton placement * Other types of anal surgery, e.g., anal fissure and colorectal cancer * Liver cirrhosis * Coagulation dysfunction * Bedridden * Human immunodeficiency virus infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain score | On postoperative day 0 to day 7 | record max pain score(visual analog scale:0-10) each day |
| Consumption of analgesics | On postoperative day 0 to day 7 | daily consumption of oral analgesics from post-operative day 0 to day 7 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of surgical site infection | On postoperative day 0-30 | Surgical site infection was defined as hospital admission for infection management or need for surgical intervention to manage the wound. |
| Incidence of Urinary retention | On postoperative day 0 to day 7 | patients requiring foley catheterization during hospital stay |
| First defecation after surgery | On postoperative day 0 to day 7 | Time between first defecation and operation |
Countries
Taiwan
Outcome results
None listed