Post Hemorrhoidectomy Anorectal Pain

Study Overview
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Brief Summary
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This is a quality assurance trial to evaluate the effectiveness of guided breathing exercises on reducing the symptoms of hemorrhoidal disease in colorectal surgery patients. All patients who undergo hemorrhoid surgery are educated on breathing exercises that can be used to reduce pain and increase relaxation. These patients will be surveyed at their post-operative visit regarding pain and other symptoms and at their one month post operative visit on the any hospitalizations and emergency room visits since their surgery.

Detailed Description
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The effectiveness of guided breathing exercises on reducing the symptoms of hemorrhoidal disease in colorectal surgery patients will be assessed in this quality assurance trial. During the pre-operative clinic visit, patients to undergo hemorrhoid surgery are educated on breathing exercises that can be used to reduce pain and increase relaxation. In this year long study patient self-reported utilization of the breathing exercises and their level of pain, sleep quality, gastrointestinal symptoms (diarrhea, constipation, etc), emergency room visits, and hospitalizations in the month post hemorrhoid surgery will be evaluated. All patients will be asked to complete a brief survey at their pre-operative and one month post-operative visits.

Official Title
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Effectiveness of Guided Breathing Exercises on Anorectal Pain in Patients With Symptomatic Hemorrhoids

Conditions
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Hemorrhoid Pain

Intervention / Treatment
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* Behavioral: deep breathing exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Undergoing elective hemorrhoid surgery Exclusion Criteria: Emergent/urgent hemorrhoid surgery

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Hemroidectomy patients<br>Patients undergoing hemorrhoid surgery who receive education regarding deep breathing exercises for pain control as part of their preoperative appointment | Behavioral: deep breathing exercises<br>* Patients receive education on deep breathing exercises for pain control as part of their pre-operative appointment<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain scores | The Wong-Baker faces pain score scale which displays 6 faces with scores of 0, 2, 4, 6, 8, 10, where 0=no hurt and 10=worst hurt will be used in the pre-operative and post-operative surveys to assess each patient's self reported pain level. the lower the score the more favorable/less pain. | within  30 days of surgery, at the time of post-operative clinic visit | 
| Utilization of breathing exercises | Response to two questions in the post-operative survey will be used to assess wehether the patient did the breathing exercises after surgery (yes or no) and if they did how man times daily did they do the breathing exercises- <2, 3-5, or >5. | within  30 days of surgery, at the time of post-operative clinic visit | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Admissions within 30 Days of Surgery | The number of patients who required admission for pain control/infection/bleeding/other complication within 30 days of surgery will be determined from a review of the medical records. | within 30 days of surgery | 
| Emergency Department visits within 30 Days of Surgery | Evaluating number of patients who visited the Emergency Department within 30 days of surgery will be determined from a review of the medical records. | within 30 days of surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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hemorrhoid, pain, deep breathing, multimodal pain control