About this trial
In a population of patients undergoing hemorrhoidal surgery under general anesthesia and divided into two equal groups based on the method used for intraoperative pudendal nerve block and its branches in the ischioanal fossa:
Group 1: Pudendal block guided by neurostimulation Group 2: Pudendal block guided by ultrasound
The primary objective of this study is to compare the maximum immediate postoperative pain score between the two groups (pain reported by the patients in the recovery room on a simple numeric scale before morphine titration).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult male or female patient
Patient who has signed informed consent to participate in the study
Patient scheduled for outpatient hemorrhoidal surgery under general anesthesia
Disqualifiers
History of hemorrhoidal surgery
Allergy or contraindication to any of the medications used in the study
Patient undergoing surgery under spinal anesthesia
History of chronic pain requiring opioid use, unrelated to hemorrhoids
Trial design
Parallel
Treatments tested in this trial
Neurostimulation
Procedure/SurgeryProcedure guided by neurostimulation
Ultrasound
Procedure/SurgeryProcedure guided by ultrasound
Treatment groups
Trial outcomes
Primary outcomes
Postoperative Pain assessment in the Post-Anesthesia Care Unit (PACU)
The primary endpoint of the study is the maximum pain score in the Post-Anesthesia Care Unit (PACU) before morphine titration. Postoperative pain in the recovery room will be recorded by the nursing staff using a simple numeric scale from 0 to 10 after questioning the patient, following standard departmental procedures. The maximum pain score before morphine titration constitutes the primary evaluation criterion.
Secondary outcomes
Quantitative Opioid Consumption
Mean amount of morphine administered in each group
Qualitative Opioid Consumption
Percentage of patients in each group with zero morphine use
Postoperative recovery assessment
QOR-15 accurately assesses postoperative recovery across five key domains: pain, physical comfort, physical independence, psychological support, and emotional state. Each item is rated from 0 (poor) to 10 (excellent), with a total score ranging from 0 (no recovery) to 150 (full recovery).
Postoperative recovery assessment
QOR-15 accurately assesses postoperative recovery across five key domains: pain, physical comfort, physical independence, psychological support, and emotional state. Each item is rated from 0 (poor) to 10 (excellent), with a total score ranging from 0 (no recovery) to 150 (full recovery).
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