Perianal Nerval Block in Proctological Interventions

NCT ID: NCT03405922

Last Updated: 2019-07-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

166 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-01

Study Completion Date

2019-07-05

Brief Summary

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The aim of this study is to evaluate whether a local perianal block performed during a proctological intervention can reduce the postoperative pain.

Detailed Description

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The aim of this study is to evaluate whether a local perianal block performed during a proctological intervention can reduce the postoperative pain.

All patients will undergo surgery under general or spinal anesthesia. At the end of the surgery, the surgeon will perform a perianal block using the local anesthetic or the placebo upon randomisation. The experimental group will receive a local anesthetics and the control group a normal saline injection. All injections will be perianal, peripheral to the external anal sphincter.

Conditions

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Perianal Fistula Fissure in Ano Hemorrhoids

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Placebo

Placebo 40 mL Saline 0.9%

Group Type PLACEBO_COMPARATOR

Placebo 40 mL Saline 0.9%

Intervention Type DRUG

Injection of 40 mL 0.9% saline

Ropivacain

40 mL Ropivacain 0.5%

Group Type ACTIVE_COMPARATOR

40 mL Ropivacain 0.5%

Intervention Type DRUG

Ropivacaine Hcl 0.5% Injection 40 mL

Interventions

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Placebo 40 mL Saline 0.9%

Injection of 40 mL 0.9% saline

Intervention Type DRUG

40 mL Ropivacain 0.5%

Ropivacaine Hcl 0.5% Injection 40 mL

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients with surgical indication for hemorrhoids, fistula-in-ano or anal fissures.
* Age of 18 or above

Exclusion Criteria

* age under 18.
* Patients unable to understand an informed consent.
* Emergency operations
* Pregnant women.
* Patients with acute perianal infection.
* Patients allergic to any component of the local anesthetic
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Basel, Switzerland

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Daniel Steinemann

Role: PRINCIPAL_INVESTIGATOR

St:Claraspital

Locations

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St Claraspital

Basel, , Switzerland

Site Status

Countries

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Switzerland

References

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Rotigliano N, Fuglistaler I, Guenin MO, Dursunoglu GB, Freiermuth D, von Flue M, Steinemann DC. Perianal block with ropivacaine as a supplement to anaesthesia in proctological surgery: double-blind randomized placebo-controlled trial (PERCEPT). Br J Surg. 2020 Jul;107(8):960-969. doi: 10.1002/bjs.11520. Epub 2020 Mar 18.

Reference Type DERIVED
PMID: 32187663 (View on PubMed)

Other Identifiers

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Perianal block in proctology

Identifier Type: -

Identifier Source: org_study_id

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