HEMORRHOIDECTOMY
Conditions
Keywords
HEMORRHOIDECTOMY, BOWEL PREPARATION, PAIN, COMFORT
Brief summary
The purpose of this research; To evaluate the effect of preoperative bowel preparation on post-hemorrhoidectomy outcomes. Bowel preparation is a routine practice before surgery in anorectal diseases. This study aims to evaluate the effect of bowel preparation using laxatives or enemas on the patient postoperative pain, analgesic consumption amount, comfort, first defecation time and satisfaction, and to evaluate the satisfaction of the surgical team.
Detailed description
The study is planned as a semi-experimental. The effect of bowel preparation using laxatives or enemas on postoperative pain, analgesic consumption, comfort and satisfaction will be evaluated. Criteria for inclusion in the research; Being a patient who will undergo hemorrhoidectomy with spinal anesthesia and agreeing to participate in the study are the exclusion criteria; Refusal to participate in the research was determined as. Following the admission of the patient, who is planned to undergo hemorrhoidectomy, to the clinic, the patient will be interviewed, the purpose of the study will be explained and he/she will be invited to participate in the study. Written consent will be obtained from patients who agree to participate in the research.
Interventions
DRUGGroup that will undergo bowel preparation using laxatives (Two bowel X-M Solution 250 ml.)
A laxatives (Two bowel X-M Solution 250 ml.) will be applied for bowel preparation before hemorrhoidectomy. The drug was given to the patient at 3 o'clock (p.m.)before the surgery by mixing it with 1500ml of water.
DRUGGroup that will undergo bowel preparation using enema (Two bowel E.S. Enema )
An enema (Two bowel E.S. Enema ) will be applied for bowel preparation before hemorrhoidectomy.The drug was administered to the patient at 00 o'clock (a.m.) and 06 o'clock (a.m.) before the surgery.
Sponsors
Saglik Bilimleri Universitesi
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
TWO DIFFERENT BOWEL PREPARATION METHODS WILL BE COMPARED IN PATIENTS WHO WILL HAVE HEMORRHOIDECTOMY
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Being a patient who will undergo hemorrhoidectomy surgery with spinal anesthesia * Agreeing to participate in the study
Exclusion criteria
* Not accepting participation in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain level | postoperative 2, 6, 10, 20, 24. hours and at the first defecation assessed up to 72 hours | To evaluate pain; A numerical rating scale will be used, numbered 0-10, 0: no pain, 10: unbearable pain (1-3 mild, 4-6 moderate, 7-10 severe). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Analgesic consumption amount | First 24 hours postoperatively | Total amount of analgesic used in the first 24 hours postoperatively |
| Comfort level | It will be evaluated once at the 24th postoperative hour. | To evaluate comfort; Perianesthesia comfort scale will be used.Perianesthesia Comfort Scale (PCS) consists of 24 items that reflect the individual's general thought process about the perianesthesia period and question his/her self-conception and feelings. Each statement in the scale has a Likert-type scoring ranging from 1-6, from strongly disagree to strongly agree. The highest total score that can be obtained from the scale is 144, and the lowest total score is 24. The average value is determined by dividing the total score obtained by the number of scale items and the result is stated in the 1-6 distribution. A low score indicates poor comfort and a high score indicates good comfort. |
| Satisfaction level of patients | It will be evaluated once at the 24th postoperative hour. | To evaluate the satisfaction of patients and the surgical team; A numerical evaluation scale (numbered between 0-10, 0: not at all satisfied, 10: very satisfied) will be used. |
Countries
Turkey (Türkiye)
Outcome results
None listed