Postoperative Analgesia Using Ganglion Impar Block After Anal Surgery

University of Alexandria

Status: Begins enrollment in a year or more

Conditions: Postoperative Pain

Treatments: Procedure: Ganglion impar block with normal saline; Procedure: Ganglion impar block with Bupivacaine.

Study type: Interventional

Funder types: Other

Identifiers

NCT04110132

16/70-8/2/2017

Details and patient eligibility

About

The aim of this study is to evaluate the ganglion Impar block in the prevention of postoperative pain after anal surgery.

Full description

Postoperative analgesia using ganglion Impar block after anal surgery

Introduction

Ganglion Impar block may be used for treatment of chronic perineal pain (1) Aim

The aim of this study is to evaluate the ganglion Impar block in the prevention of postoperative pain after anal surgery.

Patients and Methods

After approval of local ethical committee and patient consent, this double blinded randomized study will be done on 60 patients undergoing hemorrhoidectomy surgery in Alexandria University hospital.

After standard general anesthesia with Propofol 1-2mg/kg LMA for airway management and maintenance with Isoflurane 1%. The patient will be randomized into two groups.

Bupivacaine group; Ganglion Impar will be blocked using G25 Quinqe spinal needle using Bupivacaine 0.5% 10ml.

Saline group; Ganglion Impar will be blocked using G25 Quinqe spinal needle using Normal Saline 10ml Postoperative VAS will be measured each 1 for the first 6 hours then at 9 and 12 hours postoperative.

First request of pain medications will be measured.

Results Results will be collected in tables and graphs. Appropriate statistical analysis will be done.

Discussion Results of the study will be discussed compared to other studies.

Enrollment: 60 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients undergoing hemorrhoidectomy surgery in Alexandria University hospital.

Exclusion criteria

• Coagulation effects
• Allergy to Bupivacaine
• Previous anal surgery
• Patient refusal

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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60 participants in 2 patient groups, including a placebo group

Ganglion impar block with Bupivacaine.

Active Comparator group

Description:

Bupivacaine group; Ganglion Impar will be blocked using G25 Quinqe spinal needle using Bupivacaine 0.5% 10ml. Patient will have hemorrhoidectomy.

Treatment:

Procedure: Ganglion impar block with Bupivacaine.

Ganglion impar block with Saline

Placebo Comparator group

Description:

Saline group; Ganglion Impar will be blocked using G25 Quinqe spinal needle using Normal Saline 10ml Patient will have hemorrhoidectomy.

Treatment:

Procedure: Ganglion impar block with normal saline