Acute Post Operative Pain
Conditions
Keywords
hemorrhoidectomy, acute pain, corticosteroids
Brief summary
Since post hemorrhoidectomy pain is a severe and common post operative symptom so there is a need to find a suitable method for reducing this pain, up to our knowledge, this the first study in ZUH to compare between ketrolac, light Marcaine, corticosteroids and diclofenac sodium injection at surgical site for relieve of post operative pain. This is a randomized controlled comparative prospective clinical trial.
Interventions
DRUGketorolac and light marcaine
local injection at surgical site of 30 mg ketorolac and 7-1.5 mg\\kg\\dose light marcaine
DRUGlight marcaine
local injection at surgical site of 7-1.5 mg\\kg\\dose light marcaine
local injection at surgical site of 40 mg\\ dose of dexamethasone
topical application of Diclofenac Sodium Gel
OTHERthe standard analgesic protocol
the routine analgesia was given without local analgesia application
Sponsors
Zagazig University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* both sex. * age from 18 to 60.
Exclusion criteria
* patient refusal. * patients with associated ano-rectal diseases such as fissures, fistulas, ano-proctitis, recurrent or thrombosed hemorrhoids and ano-rectal malignancy. * patients with liver cell failure. patients unfit for surgery according to American Society of Anesthesiologists.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| age | within 2 days before operation | adults from 18 to 60 years old |
| sex | within 2 days before operation | both sex were included |
| number of hemorrhoids | within 2 days before operation and intra-operatively | number of hemorrhoids clinically assessed |
| degree of hemorroids | within 2 days before operation and intra-operatively | degree of hemorroids clinically assessed |
| post operative pain | 1st, 2nd 3rd, 7th, 14th days post-operatively | post operative assessed using visual analogue scale, minimum score is zero means painless and maximum score 10 means very painful |
| ambulation | from 1st to 3rd day post-operatively | early ambulation is evaluated in patients post-operatively |
| return to work | from one day to one month post-operatively | first time to return to work is evaluated |
| patient satisfaction | from one day to one month post-operatively | patient satisfaction about post-operative pain is assessed using customer satisfaction score. Minimum score is 0 and means very unsatisfied, maximum score is 10 and means very satisfied |
Countries
Egypt
Outcome results
None listed