Ischiorectal block with bupivacaine for post hemorrhoidectomy pain

Rajabi, M. and Hosseinpour, M. and Jalalvand, F. and Afshar, M. and Moosavi, G.A. and Behdad, S. (2012) Ischiorectal block with bupivacaine for post hemorrhoidectomy pain. Korean Journal of Pain, 25 (2). pp. 89-93.

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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. © The Korean Pain Society, 2012.

Item Type: Article
Additional Information: cited By 2
Uncontrolled Keywords: bupivacaine; pethidine; placebo, absence of side effects; anesthesiological procedure; article; controlled study; disease severity; drug effect; drug use; female; hemorrhoid; hemorrhoidectomy; human; ischiorectal block; major clinical study; male; operation duration; outcome assessment; pain assessment; postoperative nausea; postoperative pain; postoperative period; postoperative vomiting; randomized controlled trial; scoring system
Subjects: Surgery
Divisions: Faculty of Medicine > Clinical Sciences > Department of Surgery
Depositing User: editor . 2
Date Deposited: 28 Feb 2017 14:33
Last Modified: 04 Mar 2017 06:20

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