Our Summary

This research studied the effectiveness of giving pain medication before surgery (known as “preemptive analgesia”) in reducing pain after hemorrhoid surgery. The medication used was ketoprofen, taken by mouth two hours pre-surgery in combination with spinal anesthesia.

The study included patients with severe hemorrhoids who were about to receive a specific type of surgery. Participants were divided into two groups: one group took ketoprofen before surgery, while the other took a starch tablet.

The researchers then assessed how much pain the patients experienced after surgery, how much pain medication they needed, how quickly they returned to work, their overall quality of life, and any complications.

The goal was to show that this preemptive approach to pain management could limit pain after surgery to a manageable level with minimal use of strong painkillers.

FAQs

  1. What is the purpose of using preemptive analgesia before hemorrhoid surgery?
  2. How was the effectiveness of preemptive analgesia measured in this research?
  3. What were the benefits expected from taking ketoprofen before the surgery?

Doctor’s Tip

Based on the results of this study, a doctor might suggest to a patient undergoing a hemorrhoidectomy to consider taking a medication like ketoprofen before the surgery to help reduce post-operative pain. This preemptive analgesia approach could potentially lead to a quicker recovery and improved quality of life following the procedure. It is important to discuss this option with your doctor to see if it is appropriate for your individual situation.

Suitable For

Patients who are typically recommended for hemorrhoidectomy are those with severe hemorrhoids that do not respond to conservative treatments such as dietary changes, topical creams, and lifestyle modifications. These patients may experience symptoms such as severe pain, bleeding, itching, and prolapse of hemorrhoids.

In this study, the patients who were included were those who were scheduled to undergo hemorrhoidectomy surgery and were in need of effective pain management post-surgery. The preemptive analgesia approach with ketoprofen was aimed at reducing post-operative pain and improving overall outcomes for these patients.

It is important for patients to discuss their symptoms and treatment options with a healthcare provider to determine if hemorrhoidectomy is the best course of action for their condition.

Timeline

Before hemorrhoidectomy:

  • Patient experiences symptoms such as pain, itching, swelling, and bleeding associated with hemorrhoids.
  • Consultation with a healthcare provider to discuss treatment options, including surgery.
  • Pre-surgery preparations such as fasting, medication adjustments, and bowel preparation.
  • Preemptive analgesia with ketoprofen taken two hours before surgery in the study group.
  • Surgery under spinal anesthesia to remove the hemorrhoids.

After hemorrhoidectomy:

  • Immediate post-operative period with pain and discomfort at the surgical site.
  • Management of pain with medication as needed, with the study group potentially needing less pain medication due to preemptive analgesia.
  • Monitoring for complications such as infection, bleeding, or urinary retention.
  • Gradual improvement in symptoms and return to normal activities.
  • Follow-up appointments with the healthcare provider to assess healing and address any concerns.
  • Overall improvement in quality of life and reduced pain levels compared to the group that did not receive preemptive analgesia.

What to Ask Your Doctor

Some questions a patient should ask their doctor about hemorrhoidectomy include:

  1. Is preemptive analgesia with ketoprofen a suitable option for me to manage pain after hemorrhoid surgery?
  2. What are the potential benefits and risks of taking ketoprofen before surgery?
  3. How will taking ketoprofen before surgery affect my recovery process?
  4. Will I still need to take additional pain medication after surgery if I opt for preemptive analgesia with ketoprofen?
  5. How quickly can I expect to return to work and resume normal activities after a hemorrhoidectomy with preemptive analgesia?
  6. Are there any specific complications or side effects associated with taking ketoprofen before surgery for pain management?
  7. How does preemptive analgesia with ketoprofen compare to other pain management options for hemorrhoid surgery?
  8. Will I need to follow any specific guidelines or precautions if I choose to take ketoprofen before surgery?
  9. How will you monitor my pain levels and adjust my pain management plan post-surgery if I choose preemptive analgesia with ketoprofen?
  10. Are there any alternative pain management strategies or medications that I should consider for my hemorrhoidectomy procedure?

Reference

Authors: Kazachenko E, Garmanova T, Derinov A, Markaryan D, Lee H, Magbulova S, Tsarkov P. Journal: Trials. 2022 Jun 27;23(1):536. doi: 10.1186/s13063-022-06107-0. PMID: 35761383