Effect of Topical Trimebutine on Pain After Hemorrhoidectomy
ID: NCT03036111
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Trimebutine acts through smooth muscle relaxation. It is presumed that the topical application of trimebutine after hemorrhoidectomy may help relieve pain after the procedure by relaxing the internal anal sphincter spasm.
Read Full Scientific Objectives & Methods
A randomized trial will be carried out to investigate the effect of trimebutine on pain after Milligan-Morgan hemorrhoidectomy. Trimebutine relaxes the internal anal sphincter spasm which usually occurs after excisional hemorrhoidectomy.
Trimebutine suppository will be inserted in the anal canal on completion of hemorrhoidectomy then at six and 12 hours postoperatively.
Patients will undergo classic Milliagn-Morgan hemorrhoidectomy
Treatment Arms Description
Patients will undergo Millgan-Morgan hemorrhoidectomy as classically described before
Patients will undergo Millgan-Morgan hemorrhoidectomy then triembutine suppository will be inserted in the anal canal intraoperatively and then every six hours for 24 hours.
- Patients of both genders aging between 18-70 years with grade III/VI internal hemorrhoids will be included
- Patients with grade I/II internal hemorrhoids or external hemorrhoids.
- Patients with associated anorectal pathology such as anal fissure, anal fistula, rectal prolapse, neoplasm, solitary rectal ulcer, and inflammatory bowel diseases.\\
- Patients with recurrent hemorrhoids after previous surgery.
Primary Outcome Measures
- Pain assessment assessed using visual analogue score from 0-10 — Time Frame: Pain will be assessed at 12 hours after the procedure
Anal pain will be assessed using visual analogue score from 0-10
This trial is recruiting at 1 study facilities worldwide. Click below to see if there is a clinic or hospital in your area:
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View Official Medical/Scientific Title
Effect of Trimebutine on Postoperative Pain After Milligan-Morgan Hemorrhoidectomy: A Randomized Controlled Trial