Effectiveness of Topical Ketorolac in Post-hemorrhoidectomy Pain Management: A Clinical Trial

Background: Postoperative pain management is one of the major challenges surgeons and anesthesiologists. Objectives: This study aimed to determine efficacy topical ketorolac in post-hemorrhoidectomy management. Methods: clinical trial was conducted on 84 candidates for hemorrhoidectomy (grade-II hemorrhoids) who visited Ali ibn Abi-Talib hospital Rafsanjan, Kerman, Iran (2020 - 2021). The participants were selected through convenience sampling randomly assigned three groups 28. subjects treated (4 mL 0.5% Marcaine + 1 at surgical site), intramuscular site intramuscularly), control site) groups. Pain intensity measured using Numerical Rating Scale 1, 6, 12, 24 hours after surgery. obtained data analyzed two-way repeated measures analysis variance. Results: Female male patients constituted 46.4% 53.6% participants, respectively. mean significantly lower group than treatments all four stages assessment (P < 0.001). Some with pethidine due high intensity. However, gradually reduced over time Conclusions: Study findings suggested that administration more effective used alone relieving undergoing hemorrhoidectomy.