Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Effectiveness of Pre‐Emptive Perianal Methylene Blue and Ropivacaine Infiltration in Alleviating Pain After Hemorrhoidectomy: A Comparative Study
Gimi Tato, Akshay Sutaria, Rahul Damor and Mehul Chauhan
Page: 83-88 | Received 22 Feb 2024, Published online: 16 Apr 2024
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Abstract
The postoperative course of hemorrhoidal surgery is extremely painful, justifying the administration of substantial amounts of analgesics such as opioids, which may in turn produce nausea and vomiting, increase urinary retention decrease bowel motility. Present study was aimed to compare effectiveness of pre‐emptive perianal methylene blue and ropivacaine infiltration in alleviating pain after hemorrhoidectomy. Present study was single‐center, prospective, comparative study, conducted patients posted for Milligan‐Morgan hemorrhoidectomy. Patients were randomly allocate patients into two groups, group under trial received methylene blue and Ropivacaine and the control group was tramadol oral tablet. 34 patients were taken into each group. Majority of the patients (34.37%) were in the 31‐50 years of age group, 55 were males. In both case as well as control pain associated with hemorrhoidal disease and bleeding per rectum has been a constant factor for patient seeking remedial surgeries. The patients who participated in this trial were mainly those who had grade 3 and grade 4 symptomatic haemorrhoids. There is significant difference of vas score at 7th hours,12th hours and at 1 week between two means at 95%. The VAS scores observed clearly indicates the efficacy of infiltration of Methylene blue and Ropivacaine in preventing post operative pain in haemorrhoidectomies. It has been observed that post operative complication like nausea, vomiting, urinary retention has been observed more number in control group as compared to cases. Perianal infiltration of Methylene blue with Ropivacaine is not only effective but is also a safe procedure can be a better alternative strategy for reducing the pain of patients who are undergoing haemorrhoidectomy.
How to cite this article:
Gimi Tato, Akshay Sutaria, Rahul Damor and Mehul Chauhan. Effectiveness of Pre‐Emptive Perianal Methylene Blue and Ropivacaine Infiltration in Alleviating Pain After Hemorrhoidectomy: A Comparative Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.6.83.88
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.6.83.88