Local Versus General Anaesthesia in Stapled Hemorrhoidectomy
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Purpose
The purpose of this study is to determine whether local or general anaesthesia in stapled hemorrhoidectomy leads to a shorter operation time with a better patient comfort.
| Condition | Intervention | Phase |
|---|---|---|
|
Hemorrhoids Stade III |
Procedure: Local anesthesia (pudendal block) Procedure: general anesthesia (spinal and general) |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Local vs General Anaesthesia in Stapled Hemorrhoidectomy: A Multicentric Controlled Randomized Trial |
| Estimated Enrollment: | 58 |
| Study Start Date: | October 2007 |
| Estimated Study Completion Date: | May 2008 |
Hemorrhoids are a frequent disease with the need of surgical intervention in 10-20% of the patients. The stapled hemorrhoidectomy according to Longo under general anesthesia (or spinal) is considered standard of care [1]. Cohort studies show that a pudendal bloc with local anesthesia is safe and efficient [2-4]. The majority of procedures are actually performed in private clinics or in an ambulatory setting underlining the importance of economic issues such as procedure time (anesthesia and operation time) and hospital stay.
We hypothesize that stapled hemorrhoidectomy under local anaesthesia shortens anaesthesia time and hospital stay and reduces costs with no disadvantages regarding pain, satisfaction and complication rate.
Eligibility| Ages Eligible for Study: | 18 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Hemorrhoids grade III suitable for elective stapled hemorrhoidectomy
Exclusion Criteria:
- Age < 18 years
- No informed consent
- Emergency situation
- Contraindication to either anaesthesia method
- Patients not speaking french or german.
- Additional anal pathology (fissure, tumour).
Contacts and Locations| Switzerland | |
| Department of Visceral Surgery, University Hospital Center | |
| Lausanne, Switzerland, 1011 | |
| Study Chair: | Nicolas Demartines, MD | Department of Visceral Surgery, University Hospital Center, Lausanne, Switzerland |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00512044 History of Changes |
| Other Study ID Numbers: | P07/CHV |
| Study First Received: | August 6, 2007 |
| Last Updated: | June 29, 2010 |
| Health Authority: | Switzerland: Ethikkommission |
Keywords provided by University of Lausanne Hospitals:
|
anesthesia, Longo, mucosectomy, hemorrhoids |
Additional relevant MeSH terms:
|
Hemorrhoids Rectal Diseases Intestinal Diseases Gastrointestinal Diseases Digestive System Diseases Vascular Diseases Cardiovascular Diseases |
Anesthetics Central Nervous System Depressants Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 21, 2013