Comparing Ultrasound-Guided Sacral Erector Spinae Plane Block and Saddle Block for Hemorrhoidectomy Pain Relief in Adults

What this Trial Is About

This research aims to compare two anesthetic techniques for patients undergoing hemorrhoidectomy surgery an Ultrasound guided sacral erector spinae plane block SESPB and a Saddle block. The study includes adult patients aged 18 to 65 years with certain physical health statuses, scheduled for perianal surgery. Researchers want to evaluate pain intensity and the need for additional pain medication after the procedure. Participants will be randomly assigned to one of two groups. Group A will receive the SESPB using ultrasound guidance to inject local anesthetics near the sacral area, while Group B will receive a Saddle block administered via spinal anesthesia. Both procedures are performed by an anesthesiology consultant, and the surgical operation is done by an experienced surgeon. Postoperative medications including paracetamol and diclofenac are given regularly, with tramadol available as rescue analgesia if pain scores exceed specified levels. During the study, pain levels will be measured using the Numerical Rating Scale NRS at multiple time points up to 24 hours after surgery. Researchers will also track the total tramadol doses needed and how many patients require extra pain medication. Vital signs and standard monitoring occur before and during the operation. Participants are followed closely during the postoperative period with scheduled pain assessments and medication administration to ensure accurate data collection and safety.

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