Ultrasound-guided Sacral Erector Spinae Plane Block as a Sole Anesthetic Technique Versus Saddle Block in Hemorrhoidectomy

Recruiting now · Not applicable

Conditions studied: Hemorrhoids

In brief

Study interventions: The patients will be randomized into two equal groups, Group A and Group B. Group A: Patients will receive an Ultrasound guided sacral erector spinae plane block (SESPB) Group B: Patients will receive Saddle block. The surgical procedure will be performed by an experienced surgeon. The outcome: The primary outcome will be assessment of pain intensity using the NRS ranging from 0 (no pain) to 10 (worst pain) at 0, 2, 4, 6, 12, and 24 hours after the procedure. The secondary outcomes will include the cumulative doses of tramadol (50 mg intramuscular) to be repeated every 8 hours in case NRS score is more than four, the number of patients requiring rescue medication in the postoperative period.

Key facts

Study ID: NCT06969274
Run by: Ain Shams University
People needed: 50
Starts: 2025-05-29
Expected to finish: 2025-12-01
Last updated by the study team: 2025-12-02

Who can join

Age: 18 and older, up to 65. Sex: any. Healthy volunteers: accepted.

You may qualify if…

Patients with American Society of anesthesiologists' physical status (ASA) I to II.
Aged 18 to 65 years.
Both sexes.
Patients scheduled for perianal surgeries (hemorrhoidectomy).

You may not qualify if…

1- Patients with spinal malformation. 2-Patients with liver impairment. 3- Patients with renal impairment. 4-Patients younger than 18 years or older than 65 years. 5- Patients with hypersensitivity to one of the used drugs. 6- Coagulopathy disorders. 7- Patients who underwent hemorrhoidectomy before.

Where it is running

Ain Shams University Hospitals — Cairo, Egypt (enrolling)

Full record on ClinicalTrials.gov

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