1. Hemorrhoid grades 3 and 4 2. Undergo Hemorrhoidectomy 3. Age 20 - 60 years 4. At Maharaj Nakorn Chiang Mai Hospital Hemorrhoid, Hemorrhoidectomy, lidocaine based, sucralfate, metronidazole , adjunctive treatment
Conditions
Interventions
Topical 2% Xylocaine jelly applied three times daily (morning, evening, and before bedtime).,A combination of Metronidazole (1%) and Lidocaine, prepared by mixing 0.1 g of Metronidazole tablet with 10
Active Comparator Drug,Active Comparator Drug,Active Comparator Drug
Lidocaine Group,Lidocaine + Metronidazole Group,Lidocaine + Sucralfate Group
Sponsors
None
Eligibility
Sex/Gender
All
Age
20 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1. Hemorrhoid grades 3 and 4 2. Undergo Hemorrhoidectomy 3. Age 20 - 60 years 4. Provided informed consent to participate in the study
Exclusion criteria
Exclusion criteria: 1. Patients who have a history of Inflammatory bowel disease, anal fissure, anal fistula, colorectal malignancy, history of radiation 2. Patients over the age of 50 who have not undergone a colonoscopy before hemorrhoidectomy to rule out colorectal cancer 3. Patients who have a history of hypersensitivity to metronidazole, lidocaine nor sucralfate 4. Any psychotic disorder, language barrier 5. Any cognitive impairment or Inability to communicate 6. Refuse to participate 7. Pregnancy and breastfeeding 8. Patient with emergency condition related to hemorrhoid such as thrombosed or strangulated
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain score (as Visual analog score), QoR 15, post-operative fecal incontinence (The Wexner score) at 24, 48hrs, Day 4 and Day 7 post-operatively Pain score (as Visual analog score) | — |
Secondary
| Measure | Time frame |
|---|---|
| Intravenous opioids use for pain control day 1 and day 2 Mg | — |
Countries
Thailand
Contacts
Public ContactSawita Kuanprasert
Faculty of Medicine, Chiang Mai University
Outcome results
None listed