An interventional study of Group that will undergo bowel preparation using laxatives (Two bowel X-M Solution 250 ml.) and Group that will undergo bowel preparation using enema (Two bowel E.S. Enema ) in HEMORRHOIDECTOMY, sponsored by Saglik Bilimleri Universitesi. Enrolling by invitation at 1 site in Turkey. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-05-08.
Sponsored by Saglik Bilimleri Universitesi · Not applicable, Interventional, and Health services research
The purpose of this research; To evaluate the effect of preoperative bowel preparation on post-hemorrhoidectomy outcomes. Bowel preparation is a routine practice before surgery in anorectal diseases. This study aims to evaluate the effect of bowel preparation using laxatives or enemas on the patient postoperative pain, analgesic consumption amount, comfort, first defecation time and satisfaction, and to evaluate the satisfaction of the surgical team.
The study is planned as a semi-experimental. The effect of bowel preparation using laxatives or enemas on postoperative pain, analgesic consumption, comfort and satisfaction will be evaluated. Criteria for inclusion in the research; Being a patient who will undergo hemorrhoidectomy with spinal anesthesia and agreeing to participate in the study are the exclusion criteria; Refusal to participate in the research was determined as. Following the admission of the patient, who is planned to undergo hemorrhoidectomy, to the clinic, the patient will be interviewed, the purpose of the study will be explained and he/she will be invited to participate in the study. Written consent will be obtained from patients who agree to participate in the research.
Saglik Bilimleri Universitesi is the lead sponsor of 430 studies on the registry; 137 are open to participants now.
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Exclusion Criteria:
Bowel preparation will be made using a laxative (Two bowel X-M Solution 250 ml.)
Drug: Group that will undergo bowel preparation using laxatives (Two bowel X-M Solution 250 ml.)
Bowel preparation will be made using enema (Two bowel E.S. Enema )
Drug: Group that will undergo bowel preparation using enema (Two bowel E.S. Enema )
A laxatives (Two bowel X-M Solution 250 ml.) will be applied for bowel preparation before hemorrhoidectomy. The drug was given to the patient at 3 o'clock (p.m.)before the surgery by mixing it with 1500ml of water.
An enema (Two bowel E.S. Enema ) will be applied for bowel preparation before hemorrhoidectomy.The drug was administered to the patient at 00 o'clock (a.m.) and 06 o'clock (a.m.) before the surgery.
Pain level
To evaluate pain; A numerical rating scale will be used, numbered 0-10, 0: no pain, 10: unbearable pain (1-3 mild, 4-6 moderate, 7-10 severe).
Time frame: postoperative 2, 6, 10, 20, 24. hours and at the first defecation assessed up to 72 hours
Analgesic consumption amount
Total amount of analgesic used in the first 24 hours postoperatively
Time frame: First 24 hours postoperatively
Comfort level
To evaluate comfort; Perianesthesia comfort scale will be used.Perianesthesia Comfort Scale (PCS) consists of 24 items that reflect the individual's general thought process about the perianesthesia period and question his/her self-conception and feelings. Each statement in the scale has a Likert-type scoring ranging from 1-6, from "strongly disagree" to "strongly agree". The highest total score that can be obtained from the scale is 144, and the lowest total score is 24. The average value is determined by dividing the total score obtained by the number of scale items and the result is stated in the 1-6 distribution. A low score indicates poor comfort and a high score indicates good comfort.
Time frame: It will be evaluated once at the 24th postoperative hour.
Satisfaction level of patients
To evaluate the satisfaction of patients and the surgical team; A numerical evaluation scale (numbered between 0-10, 0: not at all satisfied, 10: very satisfied) will be used.
Time frame: It will be evaluated once at the 24th postoperative hour.
Plan to share: No — Sharing will be possible when the work is published.
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Saglik Bilimleri Universitesi