Original Research

Methylene Blue as an Analgesic in Stapled Hemorrhoidopexy: AProspective Observational Trial

Muhammad Ayub1
Khyber Teaching Hospital Peshawar
Shahbaaz Khan2
Hayatabad Medical Complex Peshawar
Aziz Ahmad3
Saidu Teaching Hospital, Swat
Muhammad Awais Mughal4
Combined Military Hospital, Mangla
Wasim Ahmad5
SHS-Peshawar

✉ Correspondence: Wasim Ahmad Email: vazim4847@gmail.com

DOI https://doi.org/10.70302/jpsim.v4i2.2329
Volume: 4, Issue 2 Pages: 141–144 Published: 02 Jun 2023
Received: 10 Feb 2023 Accepted: 05 Apr 2023 Published Online: 02 Jun 2023

Abstract

Objective

The objective of this study was to investigate the role of local infiltration of methylene blue as an analgesic in stapled hemorrhoidopexy..

Methods

This was a prospective observational trial conducted in a tertiary health care center, Peshawar from July 2021 to June 2022. Inclusion criteria was the presence of grade III hemorrhoids. The study population was divided group A being labelled as case whereas, group B was labelled as control. Group A patients were administered a perianal injection of 2mL methylene blue (1%) along with 10mL bupivacaine (25%) whereas, group B patients were administered a perianal injection of 2mL normal saline along with 10mL bupivacaine (25%). Follow-up was done prospectively for any surgical complication, pain and hospital stay.

Results

The results of our study revealed that on day 3 and day 7, study participants in group A undergone significantly lower pain scores in comparison to group B at 3rd and 7th day While insignificant at 1st and 21st day. Group B participants had consumed a significantly higher number of diclofenac on day 1 (p value = 0.006) and between days 7 and 21 with p value = 0.000.Only 2 (5.71%) patients in group B observed a prolonged hospital stay because of having pain severity.

Conclusion

Local infiltration of methylene blue may be used as an effective analgesic in PPH patients with a decreased morbidity so should be used in these patients with confidence.

Keywords
Methylene blue Hemorrhoidopexy Analgesics Pain score

How to Cite This Article

Ayub M, Khan S, Ahmad A, Mughal MA, Ahmad W. Methylene Blue as an Analgesic in Stapled Hemorrhoidopexy: AProspective Observational Trial. J Pak Soc Intern Med. 2023;4(2):141–144. doi:10.70302/jpsim.v4i2.2329

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

References

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Reference list indexed for Google Scholar and ResearchGate. DOI links resolve via doi.org.

CC BY CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2023 Journal of Pakistan Society of Internal Medicine.
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