Continuous Infusion of Local Anesthetic for Optimal Post Operative Pain Control Following Hemorrhoidectomy
| Status: | Recruiting |
|---|---|
| Conditions: | Post-Surgical Pain, Gastrointestinal |
| Therapuetic Areas: | Gastroenterology, Musculoskeletal |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/2/2016 |
| Start Date: | April 2010 |
| Contact: | Ellie Mentler, MD |
| Email: | ellie.mentler@med.navy.mil |
| Phone: | 757-953-2454 |
Continuous Infusion of Local Anesthetic for Optimal Post Operative Pain Control Following Hemorrhoidectomy: A Randomized Double-blind Controlled Trial
Over the past decade, continuous wound infiltration systems have been introduced to treat a
variety of post-surgical pain. These systems, commonly referred to pain pumps by patients,
possess a catheter(s) attached to a reservoir of local anesthetic that directly infuses into
the surgical site to provide local pain control thus avoiding the common and less desirable
systemic effects of oral narcotic pain medication. Due to its portability, another benefit
associated with these wound infiltration systems is its use as an outpatient pain control
modality. Despite the apparent benefits, the verdict on the system's effectiveness in
treating pain - throughout a variety of surgical fields - varies between very effective in
reducing post-operative pain and reducing overall narcotic consumption for several days to
completely ineffective with no reported changes in perceived pain or overall narcotic use.
Through a randomized trial comparing plain saline to a common local anesthetic, The
investigators hope to evaluate the effectiveness of these pain pumps as an outpatient
modality for pain management following hemorrhoidectomy patients. The investigators
hypothesize that there will be a significant benefit in pain relief with the use of these
pumps.
variety of post-surgical pain. These systems, commonly referred to pain pumps by patients,
possess a catheter(s) attached to a reservoir of local anesthetic that directly infuses into
the surgical site to provide local pain control thus avoiding the common and less desirable
systemic effects of oral narcotic pain medication. Due to its portability, another benefit
associated with these wound infiltration systems is its use as an outpatient pain control
modality. Despite the apparent benefits, the verdict on the system's effectiveness in
treating pain - throughout a variety of surgical fields - varies between very effective in
reducing post-operative pain and reducing overall narcotic consumption for several days to
completely ineffective with no reported changes in perceived pain or overall narcotic use.
Through a randomized trial comparing plain saline to a common local anesthetic, The
investigators hope to evaluate the effectiveness of these pain pumps as an outpatient
modality for pain management following hemorrhoidectomy patients. The investigators
hypothesize that there will be a significant benefit in pain relief with the use of these
pumps.
Inclusion Criteria:
- Patients scheduled for hemorrhoidectomies at NMCP
Exclusion Criteria:
- Any patient with co-existing active purulent infection (i.e. abscess).
- Any patient who has had previous surgical intervention for his/her hemorrhoidal
disease. Previous simple incision to treat a thrombosed hemorrhoid is not considered
a surgical intervention for the purposes of this study. The minimal scar produced by
a small incision would not alter post-operative pain following removal of a
hemorrhoidal column.
- Any patient allergic to local anesthetics or oral pain medications
- Any patient with a history of chronic pain
- Any patient allergic to or has had an adverse reaction (i.e. history of
gastrointestinal bleed) to a non-steroidal anti-inflammatory drugs (NSAIDs)
- Any patient pregnant patient
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