The role of pudendal nerve block in hemorrhoid surgery: a systematic review and meta-analysis of double-blind randomized controlled trials
BackgroundPudendal nerve block (PNB) is a commonly used anesthesia method that has been widely used in postoperative analgesia for hemorrhoids in recent years. Therefore, we conducted a systematic review and meta-analysis of double-blind randomized controlled trials (RCTs) to analyze the effectivene...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2023.1283512/full |
| _version_ | 1797393022539792384 |
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| author | Shijun Xia Lidan Luo Wenjiang Wu Kaiyuan Lu Tao Jiang Yue Li |
| author_facet | Shijun Xia Lidan Luo Wenjiang Wu Kaiyuan Lu Tao Jiang Yue Li |
| author_sort | Shijun Xia |
| collection | DOAJ |
| description | BackgroundPudendal nerve block (PNB) is a commonly used anesthesia method that has been widely used in postoperative analgesia for hemorrhoids in recent years. Therefore, we conducted a systematic review and meta-analysis of double-blind randomized controlled trials (RCTs) to analyze the effectiveness of PNB in postoperative analgesia for hemorrhoids.MethodsRelevant data and studies published from inception until August 14, 2023, were retrieved from PubMed, Embase, and Web of Science to evaluate the beneficial effects of PNB for analgesia following hemorrhoidectomy.ResultsThis meta-analysis included 6 double-blind RCTs comprising 501 patients. We evaluated the function of PNB in improving outcomes of postoperative analgesia of hemorrhoids. Visual analogue scale (VAS) scores on postoperative within 6 h (MD, −3.04; 95% CI, −4.13 to −1.95; P < 0.0001), 12 h (MD, −3.14; 95% CI, −3.87 to −2.40; P < 0.0001), and 24 h (MD, −2.25; 95% CI, −2.95 to −1.55; P < 0.0001) were enhanced by the application of PNB, but not in 48 h (MD, −2.54; 95% CI, −5.29 to 0.20; P = 0.07).ConclusionPudendal nerve block (PNB) could effectively relieve postoperative pain of hemorrhoids. However, our results still need to be confirmed by multi-center clinical studies. |
| first_indexed | 2024-03-08T23:57:06Z |
| format | Article |
| id | doaj.art-c4f536225dcc444d95d709fb654cccf4 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-03-08T23:57:06Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-c4f536225dcc444d95d709fb654cccf42023-12-13T04:27:32ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-12-011010.3389/fmed.2023.12835121283512The role of pudendal nerve block in hemorrhoid surgery: a systematic review and meta-analysis of double-blind randomized controlled trialsShijun XiaLidan LuoWenjiang WuKaiyuan LuTao JiangYue LiBackgroundPudendal nerve block (PNB) is a commonly used anesthesia method that has been widely used in postoperative analgesia for hemorrhoids in recent years. Therefore, we conducted a systematic review and meta-analysis of double-blind randomized controlled trials (RCTs) to analyze the effectiveness of PNB in postoperative analgesia for hemorrhoids.MethodsRelevant data and studies published from inception until August 14, 2023, were retrieved from PubMed, Embase, and Web of Science to evaluate the beneficial effects of PNB for analgesia following hemorrhoidectomy.ResultsThis meta-analysis included 6 double-blind RCTs comprising 501 patients. We evaluated the function of PNB in improving outcomes of postoperative analgesia of hemorrhoids. Visual analogue scale (VAS) scores on postoperative within 6 h (MD, −3.04; 95% CI, −4.13 to −1.95; P < 0.0001), 12 h (MD, −3.14; 95% CI, −3.87 to −2.40; P < 0.0001), and 24 h (MD, −2.25; 95% CI, −2.95 to −1.55; P < 0.0001) were enhanced by the application of PNB, but not in 48 h (MD, −2.54; 95% CI, −5.29 to 0.20; P = 0.07).ConclusionPudendal nerve block (PNB) could effectively relieve postoperative pain of hemorrhoids. However, our results still need to be confirmed by multi-center clinical studies.https://www.frontiersin.org/articles/10.3389/fmed.2023.1283512/fullhemorrhoidsurgerypudendal nerve blockanesthesiavisual analog scale |
| spellingShingle | Shijun Xia Lidan Luo Wenjiang Wu Kaiyuan Lu Tao Jiang Yue Li The role of pudendal nerve block in hemorrhoid surgery: a systematic review and meta-analysis of double-blind randomized controlled trials Frontiers in Medicine hemorrhoid surgery pudendal nerve block anesthesia visual analog scale |
| title | The role of pudendal nerve block in hemorrhoid surgery: a systematic review and meta-analysis of double-blind randomized controlled trials |
| title_full | The role of pudendal nerve block in hemorrhoid surgery: a systematic review and meta-analysis of double-blind randomized controlled trials |
| title_fullStr | The role of pudendal nerve block in hemorrhoid surgery: a systematic review and meta-analysis of double-blind randomized controlled trials |
| title_full_unstemmed | The role of pudendal nerve block in hemorrhoid surgery: a systematic review and meta-analysis of double-blind randomized controlled trials |
| title_short | The role of pudendal nerve block in hemorrhoid surgery: a systematic review and meta-analysis of double-blind randomized controlled trials |
| title_sort | role of pudendal nerve block in hemorrhoid surgery a systematic review and meta analysis of double blind randomized controlled trials |
| topic | hemorrhoid surgery pudendal nerve block anesthesia visual analog scale |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1283512/full |
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