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Ischiorectal Block with Bupivacaine for Post Hemorrhoidectomy Pain
Rajabi, Mehdi,Hosseinpour, Mehrdad,Jalalvand, Faranak,Afshar, Mohammad,Moosavi, Golamabbas,Behdad, Samin The Korean Pain Society 2012 The Korean Journal of Pain Vol.25 No.2
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 $8.5{\pm}1.3$ and $8.1{\pm}0.9$ (P=NS) in group 2. The post operative analgesic demand was $3.1{\pm}1.5$ and $3.3{\pm}1.8$ hours in groups 1 and 2, respectively (P=NS). The post operative pain score and analgesic demand were $4.2{\pm}2.1$ and $9.3{\pm}2.7$ hours, respectively, in group 3 (P < 0.0001). Conclusions: Preemptive ischiorectal block reduces the posthemorrhoidectomy pain and opioid demand.
Original Articles : Ischiorectal Block with Bupivacaine for Post Hemorrhoidectomy Pain
( Mehdi Rajabi ),( Mehrdad Hosseinpour ),( Faranak Jalalvand ),( Mohammad Afshar ),( Golamabbas Moosavi ),( Samin Behdad ) 대한통증학회 2012 The Korean Journal of Pain Vol.25 No.2
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 and 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. (Korean J Pain 2012; 25: 89-93)