Does the addition of perineal block enhance pain control after a haemorrhoidectomy? A prospective randomized, double‐blind placebo‐controlled study

• DOI: 10.1111/ans.19136
• Publication Date: 2024-07-29T11:45:33Z
• Authors: Daniil Markaryan; Tatiana Garmanova; Ekaterina Kazachenko; Alexander Lukianov; Eduard Markaryan; Mikhail Agapov
• Keywords: Clinical endpoint

Abstract Background Haemorrhoidectomy is associated with severe postoperative pain, a long rehabilitation, and QoL worsening for months. Most patients experience mild‐to‐moderate pain. We aimed to evaluate the intraoperative perineal block role undergoing haemorrhoidectomy. Methods In this prospective randomized, double‐blind, placebo‐controlled study, eligible III–IV stage haemorrhoids were randomized experimental group (EG) spinal anaesthesia control one (CG) only anaesthesia. During period, opioid consumption rate was evaluated as primary endpoint, pain level according VAS, systemic analgesics consumption, readmission, complication rate, timing of returning work, patients' QoL, overall satisfaction SF‐36 secondary endpoints. Results One hundred completed study (48 in EG 52 CG). Patients had less intensity ( P < 0.0001), required analgesia = 0.03), longer pain‐free periods 0.0002). 90% CG additional NSAID injections adequate compared 58% EG. The average hospital stays, operation duration didn't reach clinical significance. General health evaluation score median better 0.001 0.012, respectively). Conclusions administration perianal safe effective should be administered appropriate anorectal surgery.