Volume 1, Issue 2 (2022)                   GMJM 2022, 1(2): 43-46 | Back to browse issues page
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Sharifi S, Azhough R. Effect of Pudendal Nerve Block on Pain Relief After Hemorrhoidectomy. GMJM 2022; 1 (2) :43-46
URL: http://gmedicine.de/article-2-187-en.html
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1- Tabriz University of Medical Sciences, Tabriz, Iran
* Corresponding Author Address: Tabriz University of Medical Sciences, Tabriz, Iran. (r_azhough@yahoo.com)
Abstract   (586 Views)
Aims: Considering the importance of proper pain control after hemorrhoidectomy and not using drugs due to their many side effects, we decided to conduct the present study with the aim of investigating the effect of Pudendal nerve block on reducing pain after hemorrhoidectomy.
Instrument & Methods: This is a cross-sectional study that was performed in 2019 with the participation of 120 patients who were candidates for hemorrhoidectomy. Patients were divided into two groups and for one group the Pudendal nerve block method was used and for the other group routine ward procedures were performed. Finally, pain intensity at 2, 6, 12 and 24 hours after surgery was evaluated and compared by McGill Visual Analog Scale.
Findings: Pain intensity in the second (p=0.001), sixth (p=0.005) and twelfth (p=0.014) hours (p=0.014) in the blocked group was significantly lower than the unblocked group, while the pain intensity between the two groups in 24 hours (p=0.215) was not statistically significant.
Conclusion: By comparing different methods of reducing pain and performing pudendal nerve block in different parts of the world and the desired results, it seems that the ischiorctal cavity block is a suitable method to reduce pain after surgery.
 
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References
1. Simillis C, Thoukididou SN, Slesser AA, Rasheed S, Tan E, Tekkis PP. Systematic review and network meta-analysis comparing clinical outcomes and effectiveness of surgical treatments for haemorrhoids. Br J Surg. 2015;102(13):1603-18. [Link] [DOI:10.1002/bjs.9913]
2. Medina-Gallardo A, Curbelo-Peña Y, De Castro X, Roura-Poch P, Roca-Closa J, De Caralt-Mestres E. Is the severe pain after Milligan-Morgan hemorrhoidectomy still currently remaining a major postoperative problem despite being one of the oldest surgical techniques described? A case series of 117 consecutive patients. Int J Surg Case Rep. 2017;30:73-5. [Link] [DOI:10.1016/j.ijscr.2016.11.018]
3. Sammour T, Barazanchi AW, Hill AG, Prospect Group (Collaborators). Evidence-based management of pain after excisional haemorrhoidectomy surgery: A prospect review update. World J Surg. 2017;41(2):603-14. [Link] [DOI:10.1007/s00268-016-3737-1]
4. Borges LA, da Cunha LP, Rey Moura EC, Sakata RK. Randomized clinical study on the analgesic effect of local infiltration versus spinal block for hemorrhoidectomy. Sao Paulo Med J. 2017;135(3):247-52. [Link] [DOI:10.1590/1516-3180.2017.0001260117]
5. Ferrandis C, De Faucal D, Fabreguette JM, Borie F. Efficacy of doppler-guided hemorrhoidal artery ligation with mucopexy, in the short and long terms for patients with hemorrhoidal disease. Tech Coloproctol. 2020;24(2):165-71. [Link] [DOI:10.1007/s10151-019-02136-1]
6. Poskus T, Danys D, Makunaite G, Mainelis A, Mikalauskas S, Poskus E, et al. Results of the double-blind randomized controlled trial comparing laser hemorrhoidoplasty with sutured mucopexy and excisional hemorrhoidectomy.Int. J. Colorectal Dis. 2020;35(3):481-90. [Link] [DOI:10.1007/s00384-019-03460-6]
7. Genova P, Damiano G, Lo Monte AI, Genovam G. Transanal hemorrhoidal dearterialization versus Milligan-Morgan hemorrhoidectomy in grade III/IV hemorrhoids. Ann Ital Chir. 2019;90:145-51. [Link]
8. Trenti L, Biondo S, Kreisler Moreno E, Sanchez-Garcia JL, Espin-Basany E, Landaluce-Olavarria A, et al. Short-term outcomes of transanal hemorrhoidal dearterialization with mucopexy versus vessel-sealing device hemorrhoidectomy for grade iii to iv hemorrhoids: A prospective randomized multicenter trial. Dis Colon Rectum. 2019;62(8):988-96. [Link] [DOI:10.1097/DCR.0000000000001362]
9. Aslan R, Erbin A, Celik S, Ucpinar B, Eryilmaz R, Taken K. Periprostatic nerve block alone versus combined with perineal pudendal nerve block or intrarectal local anesthesia during transrectal ultrasound-guided prostate biopsy: A prospective randomized controlled trial. Int J Urol. 2019;26(8):833-8. [Link] [DOI:10.1111/iju.14036]
10. Tagliafico A, Bignotti B, Martinoli C. Update on ultrasound-guided interventional procedures on peripheral nerves. Semin Musculoskelet Radiol. 2016;20(5):453-60. [Link] [DOI:10.1055/s-0036-1594282]
11. Paterakis K, Schmitter M, Said Yekta‐Michael S. Efficacy of epinephrine-free articaine compared to articaine with epinephrine (1:100 000) for maxillary infiltration, a randomised clinical trial. J Oral Rehabil. 2018;45(6):467-75. [Link] [DOI:10.1111/joor.12637]
12. Derakhshan P, Imani F, Koleini ZS, Barati A. Comparison of adding sufentanil and low-dose epinephrine to bupivacaine in spinal anesthesia: A randomized, double-blind, clinical trial. Anesth Pain Med. 2018;8(5):e69600. [Link] [DOI:10.5812/aapm.69600]
13. Jinjil K, Dwivedi D, Bhatnagar V, Ray RK, Tara S. Perianal block: Is it as good as spinal anesthesia for closed hemorrhoidectomies?. Anesth Essays Res. 2018;12(1):36-41. [Link] [DOI:10.4103/aer.AER_225_17]
14. Di Giuseppe M, Saporito A, La Regina D, Tasciotti E, Ghielmini E, Vannelli A, et al. Int J Colorectal Dis. 2020;35(9): 1741-17. [Link] [DOI:10.1007/s00384-020-03630-x]
15. Bendtsen TF, Parras T, Moriggl B, Chan V, Lundby L, Buntzen S, K. Dalgaard, et al. ultrasound-guided pudendal nerve block at the entrance of the pudendal (alcock) canal: Description of anatomy and clinical technique. Reg Anesth Pain Med. 2016;41(2):140-5. [Link] [DOI:10.1097/AAP.0000000000000355]
16. Bakhtiar N, Moosa FA, Jaleel F, Qureshi NA, Jawaid M. Comparison of hemorrhoidectomy by LigaSure with conventional Milligan Morgan's hemorrhoidectomy. Pak J Med Sci. 2016;32(3):657-61. [Link] [DOI:10.12669/pjms.323.9976]
17. Soucy B, Luong DH, Michaud J, Boudier-Revéret M, Sobczak S. Accuracy of ultrasound-guided pudendal nerve block in the ischial spine and alcock's canal levels: a cadaveric study. Pain Med. 2020;21(11):2692-8. [Link] [DOI:10.1093/pm/pnaa136]