Evidence map›Paper›PMID 27766395›Full record

SynthesisWorld journal of surgery2017

Evidence-Based Management of Pain After Excisional Haemorrhoidectomy Surgery: A PROSPECT Review Update.

Tarik Sammour, Ahmed W H Barazanchi, Andrew G Hill, PROSPECT group (Collaborators)

3 registry-linked trialsAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in World journal of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 36 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 9 pooled it
5.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04567485 completednot on this mapstarted 2020, after this paper: background citation

Impact of Moderate to Severe Pain in the Post-intervention Monitoring Room After Hemorrhoidectomy on the Length of Stay in the Outpatient Surgery Unit

TypeobservationalSponsorFondation Hôpital Saint-JosephRan2020 to 2023Enrolled446ConditionsHemorrhoids, Surgery
NCT06403774 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Effect of Two Different Bowel Preparation Methods on Outcomes After Hemorrhoidectomy

TypeinterventionalSponsorSaglik Bilimleri UniversitesiRan2023 to 2024Enrolled60ConditionsHEMORRHOIDECTOMYArmsGroup that will undergo bowel preparation using laxatives (Two bowel X-M Solution 250 ml.), Group that will undergo bowel preparation using enema (Two bowel E.S. Enema )
NCT07688031 phase4completednot on this mapstarted 2023, after this paper: background citation

Efficacy and Safety of Topical Lidocaine 23%/Tetracaine 7% Ointment Versus Placebo for Post-Hemorrhoidectomy Pain: A Double-Blind Randomized Controlled Trial

TypeinterventionalSponsorPontificia Universidad Catolica de ChileRan2023 to 2026Enrolled74ConditionsPain Management, Hemorrhoids Third Degree, Hemorrhoids Fourth Degree, Hemorrhoids Second DegreeArmsLidocaine 23% / Tetracaine 7% topical ointment (compounded), Placebo ointment
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 9 syntheses or guidelines pooled it, 100 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Tarik SammourDepartment of Surgical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Ahmed W H BarazanchiDepartment of Surgery, Palmerston North Public Hospital, 50 Ruahine St, Roslyn, Palmerston North, 4442, New Zealand. ahmedwhbarazanchi@gmail.com.
Andrew G HillDepartment of Surgery, South Auckland Clinical School, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
PROSPECT group (Collaborators)
Palmerston North Hospital · NZThe University of Texas MD Anderson Cancer Center · USUniversity of Auckland · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this systematic review was to update previous PROSPECT ( http://www.postoppain.org ) review recommendations for the management of pain after excisional haemorrhoidectomy.

methodsRandomized studies and reviews published in the English language from July 2006 (end date of last review) to March 2016, assessing analgesic, anaesthetic, and operative interventions pertaining to excisional haemorrhoidectomy in adults, and reporting pain scores, were retrieved from the EMBASE and MEDLINE databases.

resultsAn additional 464 studies were identified of which 74 met the inclusion criteria. There were 48 randomized controlled trials and 26 reviews. Quantitative analyses were not performed, as there were limited numbers of trials with a sufficiently homogeneous design.

conclusionPudendal nerve block, with or without general anaesthesia, is recommended for all patients undergoing haemorrhoidal surgery. Either closed haemorrhoidectomy, or open haemorrhoidectomy with electrocoagulation of the pedicle is recommended as the primary procedure. Combinations of analgesics (paracetamol, non-steroidal anti-inflammatory drugs, and opioids), topical lignocaine and glyceryl trinitrate, laxatives, and oral metronidazole are recommended post-operatively. The recommendations are largely based on single intervention, not multimodal intervention, studies.

Indexed as

AnalgesicsAnesthetics, LocalAnti-Inflammatory Agents, Non-SteroidalEvidence-Based MedicineHemorrhoidectomyHumansLidocaineNerve BlockPostoperative PainPudendal NerveRandomized Controlled Trials as TopicReview Literature as TopicAnalgesicsAnesthetics, LocalAnti-Inflammatory Agents, Non-SteroidalLidocaine

Identifiers

PMID27766395
OpenAlexW2539312489

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.