Compartive Study Between Caudal and Perianal Block During Anal Sphincter Sparing Procedures Under General Anesthesia

Launched by CAIRO UNIVERSITY · Sep 24, 2022

Keywords

ClinConnect Summary

This clinical trial is studying two types of pain relief methods during surgery for a condition called anal fistula, which is an abnormal connection between the skin around the anus and the anal canal. The researchers want to compare the effectiveness of two regional anesthesia techniques—caudal block and perianal block—when combined with general anesthesia. The goal is to see which method provides better pain control after surgery and helps maintain muscle tone in the anal area.

To participate in the trial, individuals must be between 18 and 60 years old and have a complex anal fistula. However, there are some exclusions, such as those with allergies to certain local anesthetics or specific health conditions that would make these procedures unsafe. If eligible, participants can expect to receive one of the two pain relief methods during their surgery and will be monitored for their pain and recovery afterward. This study aims to improve postoperative care and outcomes for patients undergoing sphincter-sparing surgery.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 18-60 years old patients
• • ASA I-IIIpatients
• • Patients with complex anal fistula
• Exclusion Criteria:
• • known hypersensitivity to amide type local anesthetics
• • Patients with contraindications to caudal block or perianal block: use of anticoagulant medication, local infection in the intervention site, increased intracranial pressure and severe aortic and / or mitral valve stenosis.
• • Patients who do not accept regional anesthesia
• • BMI (Body mass index) \> 35 kg/m2
• • Anatomical abnormalities and previous surgeries involving the sacrum