Postoperative Pain in the Surgical Treatment of Hemorrhoids: Conventional Hemorrhoidectomy With a Monopolar Electric Scaler VS Bipolar Energy With Caiman® (Aesculap®)

Last updated: August 1, 2024
Sponsor: Corporacion Parc Tauli
Overall Status: Active - Recruiting

Phase

N/A

Condition

Hemorrhoids

Treatment

Monopolar Hemorroidecotmy

Caiman Hemorroidectomy

Clinical Study ID

NCT06535269
TAUHEMOR
  • Ages 18-65
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

To demonstrate that postoperative pain secondary to Milligan and Morgan hemorrhoidectomy with Caiman® (AESCULAP®) and subsequent oral conventional analgesia is at least not greater than that generated after hemorrhoidectomy with monopolar diathermy and intravenous analgesia with care home at discharge.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • All patients with 2 or 3 bundles of grade III-IV hemorrhoids (Goligherclassification) clinically symptomatic and subject to outpatient hemorrhoidectomy

  • Voluntary participation.

  • ASA I-II-III.

Exclusion

Exclusion Criteria:

  • Failure to meet the inclusion criteria.

  • ASA IV.

  • Allergic to Paracetamol, derivatives of morphine.

  • Allergic to NSAIDs.

  • Synchronous colorectal neoplasia.

  • Coagulation disorders.

  • Thrombosed hemorrhoid.

  • Inflammatory bowel disease.

  • Liver cirrhosis and/or portal hypertension.

  • Pregnant women.

  • Difficulty following up by phone and/or in person.

Study Design

Total Participants: 27
Treatment Group(s): 2
Primary Treatment: Monopolar Hemorroidecotmy
Phase:
Study Start date:
November 02, 2022
Estimated Completion Date:
July 31, 2025

Study Description

In the treatment of coloproctological pathology, one of the most important problems is postoperative pain. Especially in the management of hemorrhoids treatment. There are different approaches but in all of them pain is the predominant symptom.

There are some less painful techniques but the gold standard continues to be hemmorrhoidectomy, which is associated with postoperative pain. Some actions have been taken to control pain to avoid the admission of patients, but there are still problems in this regard.

Our group aims to study the effect of energy change for performing hemorrhoidectomy on postoperative pain.

Connect with a study center

  • Laura Mora López

    Sabadell, Barcelona 08208
    Spain

    Active - Recruiting

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