Our Summary

This research study is set in Uganda and is aimed at comparing two methods of anesthesia during an open hemorrhoidectomy (a surgical procedure to remove hemorrhoids) - local anesthesia and saddle block. The study will involve patients who have severe (third or fourth-degree) hemorrhoids. They will be divided into two groups, with each group undergoing the surgery with a different type of anesthesia. Researchers will then assess the level of pain experienced by patients after the surgery, the time taken for the surgery, and the cost-effectiveness of each method. The study aims to prove that local anesthesia could be a better option as it could lead to quicker recovery times, shorter hospital stays, and lower costs. The recruitment of patients for this study began in December 2021 and is expected to end in May 2022.

FAQs

  1. What is the main aim of this research study being conducted in Uganda?
  2. What two types of anesthesia are being compared during the open hemorrhoidectomy in this study?
  3. What factors will be assessed by researchers after the surgery to determine the effectiveness of each type of anesthesia?

Doctor’s Tip

One helpful tip a doctor might tell a patient about hemorrhoidectomy is to follow post-operative care instructions carefully to promote healing and reduce the risk of complications. This may include taking prescribed pain medications, eating a high-fiber diet to prevent constipation, keeping the surgical area clean and dry, and avoiding strenuous activities. It is important to communicate any concerns or unusual symptoms to your doctor promptly.

Suitable For

Patients who are typically recommended for a hemorrhoidectomy are those with severe (third or fourth-degree) hemorrhoids that have not responded to conservative treatments such as dietary changes, topical medications, or minimally invasive procedures. These patients may experience symptoms such as severe pain, bleeding, prolapse, and difficulty with hygiene. In this research study in Uganda, patients with severe hemorrhoids who meet the criteria for a hemorrhoidectomy will be recruited to participate in the study comparing local anesthesia and saddle block anesthesia for the surgical procedure.

Timeline

Before hemorrhoidectomy:

  • Patient experiences symptoms of hemorrhoids such as pain, itching, swelling, and bleeding.
  • Patient consults with a doctor who confirms the diagnosis of severe hemorrhoids.
  • Doctor recommends surgical intervention and discusses the procedure, risks, and benefits with the patient.
  • Patient undergoes pre-operative assessments and preparations, which may include blood tests, imaging studies, and bowel preparation.

After hemorrhoidectomy:

  • Patient arrives at the hospital on the day of surgery and is prepared for the procedure.
  • Depending on the assigned group, patient receives either local anesthesia or saddle block anesthesia.
  • Surgery is performed to remove the hemorrhoids, which may take about 30-60 minutes.
  • Patient is monitored in the recovery room and may experience some pain and discomfort.
  • Patient is discharged from the hospital after a period of observation, usually the same day or the next day.
  • Patient is given post-operative instructions for wound care, pain management, and follow-up appointments.
  • Patient may experience pain, swelling, and discomfort in the days following the surgery, which gradually improve over time.
  • Patient attends follow-up appointments with the doctor to monitor healing and address any complications.
  • Patient resumes normal activities and gradually recovers from the surgery, with complete healing taking several weeks to months.

Overall, the patient undergoes a period of preparation, surgery, recovery, and follow-up care before and after a hemorrhoidectomy. The choice of anesthesia method may impact the patient’s experience and outcomes, as shown in the research study comparing local anesthesia and saddle block anesthesia.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a hemorrhoidectomy procedure?
  2. How do you determine if I am a suitable candidate for a hemorrhoidectomy?
  3. Can you explain the differences between local anesthesia and saddle block anesthesia for this procedure?
  4. What are the benefits and drawbacks of each type of anesthesia?
  5. Will I be able to go home the same day after the surgery, or will I need to stay in the hospital overnight?
  6. How long is the typical recovery period after a hemorrhoidectomy?
  7. What pain management options will be available to me after the surgery?
  8. Are there any dietary or lifestyle changes I should make before or after the surgery to promote healing?
  9. What is the success rate of this procedure, and how long do the results typically last?
  10. Are there any alternative treatments or procedures for hemorrhoids that I should consider before opting for a hemorrhoidectomy?

Reference

Authors: Sikakulya FK, Ssebuufu R, Okedi XF, Baluku M, Lule H, Kyamanywa P. Journal: Trials. 2022 Aug 13;23(1):652. doi: 10.1186/s13063-022-06636-8. PMID: 35964122