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PUSHES (Pudendal Block Versus Sacral ESP Hemorrhoidectomy Study)
Sponsor: Andrea Saporito
Summary
The goal of this clinical trial is to learn if the sacral erector spinae plane block can provide equal or better pain control than the pudendal nerve block in adults undergoing hemorrhoid surgery. The main question is: Which block offers more effective analgesia and faster recovery?
Official title: A Randomized, Double-Blind Trial Comparing Pudendal Block Versus Sacral ESP for Ambulatory Hemorrhoidectomy
Key Details
Gender
All
Age Range
18 Years - 80 Years
Study Type
INTERVENTIONAL
Enrollment
64
Start Date
2026-01-05
Completion Date
2027-09-30
Last Updated
2026-03-18
Healthy Volunteers
No
Conditions
Interventions
Pudendal block AL
Patients in the control group will receive an ultrasound-guided bilateral pudendal nerve block with 20 mL of 0.75% ropivacaine
Sacral ESP block AL
Patients in the intervention group will receive an ultrasound-guided sacral ESP block with 20 mL of 0.75% ropivacaine
Sacral ESP block Sham
Patients in the control group will receive a sacral ESP block with 20 mL of normal saline.
Pudendal block Sham
Patients will receive a bilateral pudendal nerve block with 20 mL of normal saline.
Locations (1)
Ospedale Regionale Bellinzona e Valli (ORBV) CH-6500 Bellinzona Switzerland
Bellinzona, Switzerland