Pain Assessment Following Open Hemorrhoidectomy Under Local Anesthesia Versus Saddle Block: A Multicenter Randomized Controlled Trial.

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dc.contributor.authorSikakulya, Franck Katembo
dc.contributor.authorSsebuufu, Robinson
dc.contributor.authorOkedi, Xaviour Francis
dc.contributor.authorBaluku, Moris
dc.contributor.authorLule, Herman
dc.contributor.authorKiyaka, Sonye Magugu
dc.contributor.authorKyamanywa, Patrick
dc.date.accessioned2024-06-05T11:31:36Z
dc.date.available2024-06-05T11:31:36Z
dc.date.issued2024
dc.description.abstractBackground There is a disparity in evidence on pain assessment post open hemorrhoidectomy (OH) using local anes- Thesia and its use in developing countries are different from those in 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. Methods 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 analyzed using SPSS version 26 at a p<0.05 as statically significant using the visual analog scale (VAS). Results 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 different at 2 h post-OH compared to other times of pain assessment but not statically significantly by area under the cover (AUC) (95% CI=486–0.773: AUC=0.63; p=0.09) with a significance by Kruskal–Wallis’s test (p:0.925). Conclusion Local anesthesia was found to have a similar pain severity occurrence in the post-operative period among patients undergoing open hemorrhoidectomy for primary uncomplicated 3rd or 4th-degree hemorrhoids. Close monitoring of pain in the postoperative period is mandatory especially at 2 h to assess the need of analgesia. Trial registration Pan African Clinical Trials Registry, PACTR202110667430356. Registered on 8th October, 2021.
dc.identifier.citationSikakulya, F. K. (2024). Pain Assessment Following Open Hemorrhoidectomy Under Local Anesthesia Versus Saddle Block: A Multicenter Randomized Controlled Trial. Kabale: Kabale University.
dc.identifier.urihttp://hdl.handle.net/20.500.12493/2026
dc.language.isoen_US
dc.publisherKabale University
dc.subjectPain
dc.subjectOpen hemorrhoidectomy
dc.subjectLocal anesthesia
dc.subjectSaddle block
dc.subjectUganda
dc.titlePain Assessment Following Open Hemorrhoidectomy Under Local Anesthesia Versus Saddle Block: A Multicenter Randomized Controlled Trial.
dc.typeArticle

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