Ischiorectal Block with Bupivacaine for Post Hemorrhoidectomy Pain
The Korean Journal of Pain
;
: 89-93, 2012.
Article
in English
| WPRIM
| ID: wpr-79411
ABSTRACT
BACKGROUND:
Hemorrhoid is one of the most common surgical diseases occurring in the anorectal region. In this study, we evaluated the effect of ischiorectal fossa block on alleviating post hemorrhoidectomy pain.METHODS:
In this study, 90 patients suffering from hemorrhoids were evaluated. They were randomly divided into 3 groups. The first group had no block, the second group an ischiorectal block with placebo (normal saline), and the third group a preemptive ischiorectal block with bupivacaine. Postoperative variables such as pain intensity, pethidine consumption, nausea, and vomiting were compared between the groups.RESULTS:
The postoperative pain score in group 1 was 8.5 +/- 1.3 and 8.1 +/- 0.9 (P = NS) in group 2. The post operative analgesic demand was 3.1 +/- 1.5 and 3.3 +/- 1.8 hours in groups 1 and 2, respectively (P = NS). The post operative pain score and analgesic demand were 4.2 +/- 2.1 and 9.3 +/- 2.7 hours, respectively, in group 3 (P < 0.0001).CONCLUSIONS:
Preemptive ischiorectal block reduces the posthemorrhoidectomy pain and opioid demand.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pain, Postoperative
/
Stress, Psychological
/
Vomiting
/
Bupivacaine
/
Hemorrhoidectomy
/
Hemorrhoids
/
Meperidine
/
Nausea
Type of study:
Controlled clinical trial
Limits:
Humans
Language:
English
Journal:
The Korean Journal of Pain
Year:
2012
Type:
Article
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