Acupuncture for Post-hemorrhoidectomy Pain Control
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Acupuncture, Acupuncture.
- Who it may be relevant to
- Registry conditions: Hemorrhoidectomy, Hemorrhoid Pain, Acupuncture. Basic parameters: 18 years — 90 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Acupuncture for Post-hemorrhoidectomy Pain Control With Acute Anti-inflammatory Effects: A Randomized Controlled Trial
Overview
The goal of this clinical trial is to learn if acupuncture improves pain control after hemorrhoidectomy in patients with symptomatic hemorrhoids. It will also learn about the safety of using acupuncture in surgical patients. The main questions it aims to answer are: Does acupuncture lower the maximal pain intensity after hemorrhoidectomy? Does acupuncture reduce analgesics requirement, length of hospital stay and quality of recovery? Researchers will compare fully active acupuncture to a sham treatment (a look-alike procedure with minimum acupuncture stimulation) to see if active acupuncture works to improve pain control. Participants will: Receive acupuncture treatment for 7 times over first 5 days after surgery. Visit the clinic once 2 weeks after surgery for checkups and tests. Keep a diary of their symptoms and the number of times they take pain-killers.
Interventions
- Procedure Acupuncture
Acupuncture to 6 specific acupoints, 3 distant acupoints and electrical stimulation to 4 pairs of local acupoints. - Procedure Acupuncture
Minimal electrical stimulation to 1 local acupoint and 2 distant acupoints
Primary outcome measures
- Maximal pain intensity [Time frame: Post-operative day 1]
Secondary outcome measures (7)
- Maximal and resting pain intensity [Time frame: Post-operative day 0, 2 to 7 and 14]
- Dosage of analgesics requirement [Time frame: Post-operative 2 weeks]
- Length of hospital stay [Time frame: Post-operative day 1]
- Functional recovery questionnaire [Time frame: Post-operative 1 week (time to first bowel motion, time to first urination and time to return to work, counted from the day of operation)]
- Adverse effect [Time frame: Post-operative 2 weeks]
- Quality of recovery (QoR) [Time frame: Post-operative day 1]
- Serum C-reactive protein level [Time frame: Post-operative day 0 and 1]
Eligibility criteria
Inclusion criteria
- Symptomatic grade III or IV hemorrhoids undergoing conventional hemorrhoidectomy
Exclusion criteria
- Patients scheduled for stapled hemorrhoidopexy
- Concomitant surgery other than conventional hemorrhoidectomy
- Bleeding tendency, thrombocytopenia (platelet count < 100 x 10\^9/L)
- Immunocompromised status or use of chemotherapy
- Active dermatitis
- Patients with pacemaker or automated implantable cardioverter-defibrillator
- Pregnant patients
- Known allergy to opioids, local anaesthetic drugs, paracetamol, non-steroidal anti-inflammatory drugs (NSAIDS) including cyclooxygenase-2 inhibitors
- History of chronic pain (duration for 3 months or more)
- Daily use of strong opioids (e.g. morphine, fentanyl, hydromorphone, methadone, oxycodone, or meperidine)
- Alcohol or drug abuse
- Psychiatric illness
- Impaired renal function (preoperative serum creatinine level > 120µmol/L)
- Recent acupuncture treatment for other medical conditions
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Triple blind
- Primary purpose
- Treatment
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07238504 · UW 25-302