Prospective Comparative Analysis of the Incidence of Vasovagal Reaction and the Effect of Rectal Submucosal Lidocaine Injection in Stapled Hemorrhoidopexy: A Randomized Controlled Trial

Cho, Kyung Jin; Hwang, Do Yeon; Lee, Hyun Joo; Hyun, Ki Hoon; Kim, Tae Jung; Park, Duk Hoon

doi:10.3393/ac.2020.02.12

Cited by 3 publications

(3 citation statements)

References 17 publications

(18 reference statements)

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“…If possible, surgical procedures should be delayed until a few weeks after delivery. It would be advantageous to avoid potential complications associated with hemorrhoidectomy [18,19].…”

Section: Conservative Treatmentmentioning

confidence: 99%

Treatment of Hemorrhoid in Unusual Condition-Pregnancy

Ryu¹

2022

Ewha Med J

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Hemorrhoids are varicose veins of the rectum that are located in or near the anal canal and are covered by mucosa. They can occur at any age, are generally symptomless, and affect both sexes equally. Hemorrhoids are a common complaint among younger women and are more likely to occur during pregnancy and the menstrual cycle. In this article, we discuss the many approaches in the treatment of hemorrhoids. Laxatives, stool softeners, and fiber supplements are all considered safe for use by pregnant women. Moderate use of laxatives is also acceptable. Since there is a lack of sufficient evidence to support the safety and efficiency of topical medicines or oral phlebotomies during pregnancy, these treatments must to be utilized with an increased degree of extreme caution. In the case that considerable bleeding occurs, anal packing may be a straight forward and helpful operation to implement. A hemorhoidectomy is the treatment option for hemorrhoids that have become strangulated, badly thrombosed, or have bleeding that cannot be controlled. Incidence or Pathogenesis of Hemorrhoidal Disaease in PregnancyHemorrhoidal disease is often symptomatic and bothersome for pregnant women. It affects 25-35 percent of pregnant women [10], primarily presents in the third trimester, and can be

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“…If possible, surgical procedures should be delayed until a few weeks after delivery. It would be advantageous to avoid potential complications associated with hemorrhoidectomy [18,19].…”

Section: Conservative Treatmentmentioning

confidence: 99%

Treatment of Hemorrhoid in Unusual Condition-Pregnancy

Ryu¹

2022

Ewha Med J

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“…In the SH, there are few papers about the prevalence or prevention method of VVR that occurs during surgery. Cho et al [ 14 ] reported a randomized control trial of incidence VVR and the effect of lidocaine injection during SH. A total of 111 patients were included in this study and 20 patients had low abdominal pain during SH.…”

mentioning

confidence: 99%

“…Abdominal pain or VVR may be associated with a pulled mucosa in process of SH. In this study, the results were not compared according to the surgical method [ 14 ]. However, in the case of partial SH, selectively pure-string sutures were done to only the hemorrhoidal tissues preserving normal tissue [ 15 ].…”

mentioning

confidence: 99%

The Effort to Reduce Vasovagal Reaction and Abdominal Pain During Stapled Hemorrhoidopexy

Jeong¹

2020

Ann Coloproctol

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PROSPECT guideline for haemorrhoid surgery

Bikfalvi,

Faes,

Freys

et al. 2023

European Journal of Anaesthesiology Intensive Care

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BACKGROUND Haemorrhoidectomy is associated with moderate-to-severe postoperative pain. OBJECTIVE The aim of this systematic review was to assess the available literature and update previous PROSPECT (procedure specific postoperative pain management) recommendations for optimal pain management after haemorrhoidectomy. DESIGN AND ELIGIBILITY CRITERIA A systematic review utilising PROSPECT methodology was undertaken. DATA SOURCES Randomised controlled trials published in the English language from January 1, 2016 to February 2, 2022 assessing postoperative pain using analgesic, anaesthetic, and surgical interventions were identified from MEDLINE, EMBASE and Cochrane Database. RESULTS Of the 371 randomized controlled trials (RCTs) identified, 84 RCTs and 19 systematic reviews, meta-analyses met our inclusion criteria (103 publications). Interventions that improved postoperative pain relief included: paracetamol and nonsteroidal anti-inflammatory drugs or cyclo-oxygenase-2 selective inhibitors, systemic steroids, pudendal nerve block, topical metronidazole, topical diltiazem, topical sucralfate or topical glyceryl trinitrate, and intramuscular injection of botulinum toxin. DISCUSSION This review has updated the previous recommendations written by our group. Important changes are abandoning oral metronidazole and recommending topical metronidazole, topical diltiazem, topical sucralfate, topical glyceryl trinitrate. Botulinum toxin can also be administered. Contemporary publications confirm the analgesic effect of bilateral pudendal nerve block but invalidate recommendations on perianal infiltration. The choice of the surgery is mostly left to the discretion of the surgeons based on their experience, expertise, type of haemorrhoids, and risk of relapse. That said, excisional surgery is more painful than other procedures.

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Prospective Comparative Analysis of the Incidence of Vasovagal Reaction and the Effect of Rectal Submucosal Lidocaine Injection in Stapled Hemorrhoidopexy: A Randomized Controlled Trial

Cited by 3 publications

References 17 publications

Treatment of Hemorrhoid in Unusual Condition-Pregnancy

Treatment of Hemorrhoid in Unusual Condition-Pregnancy

The Effort to Reduce Vasovagal Reaction and Abdominal Pain During Stapled Hemorrhoidopexy

PROSPECT guideline for haemorrhoid surgery

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