Pain assessment following open hemorrhoidectomy under local anesthesia versus saddle block: a multicenter randomized controlled trial

dc.contributor.authorSikakulya, Franck Katembo
dc.contributor.authorSsebuufu, Robinson
dc.contributor.authorOkedi, Francis Xaviour
dc.contributor.authorBaluku, Moris
dc.contributor.authorLule, Herman
dc.contributor.authorKiyaka, Sonye Magugu
dc.contributor.authorKyamanywa, Patrick
dc.date.accessioned2024-04-26T13:10:37Z
dc.date.available2024-04-26T13:10:37Z
dc.date.issued2023-05-12
dc.description.abstractThere is disparity in evidence on pain assessment post open hemorrhoidectomy (OH) using local anesthesia and its use in developing countries compared to developed countries. Therefore, we conducted this study to assess the occurrence of postoperative pain following open hemorrhoidectomy under local anesthesia versus saddle block for uncomplicated 3rd or 4th degree hemorrhoids. This was a prospective equivalence randomized, double blind controlled trial conducted from December 2021 to May 2022 among patients with primary uncomplicated 3rd or 4th degree hemorrhoids. Pain severity was assessed at 2, 4 and 6 h post open hemorrhoidectomy using visual analogue scale (VAS). Data was analysed using SPSS version 26 at a p<0.05 as statically signifcant using visual analogue scale (VAS). We recruited 58 participants in this study who underwent open hemorrhoidectomy under local anesthesia or saddle block (29 participants per group). The sex ratio was of 1.15 of female to male and a mean age of 39±13. VAS was found to be diferent at 2 h post OH compare to other time of pain assessment but not statically signifcant by area under the cover (AUC) (95% CI=486–0.773: AUC=0.63; p=0.09) with a none signifcance by Kruskal–Wallis’s test (p:0.925). Local anesthesia was found to be having a similar pain severity occurrence in post operative period among patients undergoing open hemorrhoidectomy for primary uncomplicated 3rd or 4th degree hemorrhoids. Close monitoring of pain in postoperative period is mandatory especially at 2 h to assess need of analgesia.en_US
dc.identifier.issn1471-2482
dc.identifier.urihttps://doi.org/10.1186/s12893-023-02030-6
dc.identifier.urihttp://hdl.handle.net/20.500.12280/3132
dc.language.isoenen_US
dc.publisherBMC Springer Natureen_US
dc.relation.ispartofseriesBMC Surgery;23, Article number: 124 (2023)
dc.subjectPain,en_US
dc.subjectOpen hemorrhoidectomy,en_US
dc.subjectLocal anesthesia,en_US
dc.subjectSaddle block,en_US
dc.subjectUgandaen_US
dc.titlePain assessment following open hemorrhoidectomy under local anesthesia versus saddle block: a multicenter randomized controlled trialen_US
dc.typeArticleen_US

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Kyamanywa-Article-MotherKEvin-2023-PainAssessment.pdf
Size:
1.06 MB
Format:
Adobe Portable Document Format
Description:

License bundle

Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.85 KB
Format:
Item-specific license agreed upon to submission
Description:

Collections