title: [Pain management after hemorrhoidectomy. Patient-controlled analgesia vs conventional pain therapy].
abstract: OBJECTIVE
  The aim of this randomized non-blinded study was to assess the pain management after hemorrhoidectomy using patient-controlled analgesia (PCA).
  
  
  METHODS
  In this study following Ferguson hemorrhoidectomy 38 patients were administered either standard pain management with oral non-steroidal analgesics (control n = 18) or additional PCA with piritramid intravenously by infusion pump within the first 24 h (PCA n = 19).
  
  
  RESULTS
  The pain score within the first 24 h after surgery was significantly lower in patients with PCA compared to control patients (maximum pain within 12 h postoperatively: mean PCA 2.6 versus control 5.7). During the first 24 h postoperatively, patients with PCA were significantly more satisfied with the pain management than the control patients.
  
  
  CONCLUSIONS
  Pain after hemorrhoidectomy can be reduced within the first 24 h using PCA. Patients are significantly more satisfied with PCA than with standard medication.
authors: Abteilung Chirurgie-Proktologie, Klinik Maingau vom Roten Kreuz, Scheffelstr. 2, 60318, Frankfurt am Main, Deutschland. hancke@coloproct.de
authors: E
authors: E
authors: Hancke
authors: M
authors: M
authors: Lampinski
authors: K
authors: K
authors: Suchan
authors: K
authors: K
authors: Völke
mesh_terms: D000328:Adult; D000368:Aged; D016058:Analgesia, Patient-Controlled; D000700:Analgesics / Q000008:administration & dosage*; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage*; D005260:Female; D061865:Hemorrhoidectomy; D006801:Humans; D015918:Infusion Pumps, Implantable; D008297:Male; D008875:Middle Aged; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement / Q000187:drug effects; D010149:Postoperative Pain / Q000188:drug therapy*; D017060:Patient Satisfaction; D010892:Pirinitramide / Q000008:administration & dosage*
chemical_list: D000700:Analgesics; D000701:Analgesics, Opioid; D000894:Anti-Inflammatory Agents, Non-Steroidal; D010892:Pirinitramide
references: Dis Colon Rectum. 2008 Feb;51(2):235-8
references: 18176825
references: Tech Coloproctol. 2010 Nov;14 Suppl 1:S1-3
references: 20683750
references: Tech Coloproctol. 2009 Sep;13(3):219-24
references: 19649687
references: Saudi Med J. 2006 Oct;27(10):1538-41
references: 17013479
references: J Gastrointest Surg. 2009 Jul;13(7):1274-8
references: 19337777
references: Dis Colon Rectum. 2004 May;47(5):711-6
references: 15054681
references: World J Surg. 2005 Apr;29(4):464-8
references: 15770383
references: Dis Colon Rectum. 2007 Oct;50(10):1656-61
references: 17701375
references: Dis Colon Rectum. 2005 Oct;48(10):1913-6
references: 16175328
references: Tech Coloproctol. 2006 Oct;10(3):193-7
references: 16969617
references: Can J Anaesth. 1996 Sep;43(9):914-8
references: 8874908
references: J Med Assoc Thai. 2008 Dec;91(12):1862-6
references: 19133521
references: J Med Assoc Thai. 2004 Jun;87(6):660-4
references: 15279345
references: Reg Anesth Pain Med. 2003 May-Jun;28(3):228-32
references: 12772141
references: Dis Colon Rectum. 2002 Sep;45(9):1186-90; discussion 1190-1
references: 12352234
references: Gut. 2009 May;58(5):668-78
references: 19091821
references: Dis Colon Rectum. 2002 Jan;45(1):104-8
references: 11786772
references: Ann Ital Chir. 2004 Jul-Aug;75(4):471-4; discussion 474-5
references: 15754699
references: Can J Anaesth. 2006 Jun;53(6):579-85
references: 16738292
references: Dis Colon Rectum. 2003 Aug;46(8):1097-102
references: 12907905
references: Dis Colon Rectum. 2006 Dec;49(12):1914-21
references: 17080277
references: Dis Colon Rectum. 2000 Feb;43(2):142-5
references: 10696885
references: Lancet. 1998 Jan 17;351(9097):169-72
references: 9449871
references: Dis Colon Rectum. 2002 Nov;45(11):1452-7
references: 12432291
references: Dis Colon Rectum. 2005 Mar;48(3):518-23
references: 15875295
references: J Am Acad Orthop Surg. 2002 Mar-Apr;10(2):117-29
references: 11929206
references: ANZ J Surg. 2008 May;78(5):398-401
references: 18380741
references: Chang Gung Med J. 2010 Sep-Oct;33(5):488-500
references: 20979699