Can a Long-Acting anesthetic ease Post-Surgery pain better than the standard?
NCT ID NCT07795203
First seen Aug 31, 2026 · Last updated Sep 01, 2026 · Updated 1 time
Summary
This trial tests whether a long-acting local anesthetic, liposomal bupivacaine, provides better pain relief than the standard ropivacaine when injected around the surgical site after open hemorrhoidectomy. Adults aged 18 to 60 with grade III-IV hemorrhoids will receive one of the two injections at the end of surgery. Researchers will measure pain scores at rest and during movement over 48 hours, plus painkiller use, recovery quality, and side effects for up to 72 hours after surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Liposomal bupivacaine (a long-acting local anesthetic) compared with ropivacaine (a standard local anesthetic), both injected around the surgical site
- What this could lead to
- If liposomal bupivacaine works better, it could offer longer-lasting pain relief after hemorrhoid surgery, reducing the need for extra painkillers and improving recovery.
- What could go wrong
- This is a single-center trial with 140 participants, so results may not apply broadly. Liposomal bupivacaine may not outperform ropivacaine, and both carry risks like injection-site reactions or allergic responses.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 140 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 60 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 1\. Aged 18-60 years, irrespective of sex 2. Diagnosed with grade III-IV internal hemorrhoids or mixed hemorrhoids based on specialist examination and scheduled to undergo elective Milligan-Morgan open hemorrhoidectomy 3. American Society of Anesthesiologists (ASA) physical status I-III 4. Body mass index (BMI) of 18.0-30.0 kg/m² 5. Able to understand and complete the pain and quality-of-recovery assessments and willing to participate in the study Exclusion Criteria: 1\. Concomitant chronic low back or leg pain, anal fissure, perianal abscess, or other persistent painful conditions 2. Pregnancy, breastfeeding, or plans to become pregnant in the near future 3. Known allergy to bupivacaine, ropivacaine, or any other medication used during the study 4. Long-term regular use of opioids or use of analgesic medications within 48 hours before surgery 5. Obstructive sleep apnea syndrome or severe cardiovascular, cerebrovascular, or pulmonary disease considered to significantly increase risks associated with neuraxial anesthesia or postoperative analgesia 6. Psychiatric or cognitive impairment that precludes completion of study assessments 7. Any other condition that, in the investigator's judgment, renders the patient unsuitable for participation \-
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Tongliao People's Hospital
Neimeng, Tongliao, 028000, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- New Chinese-Language questionnaires aim to better measure hemorrhoid suffering
- Could a tiny camera make hemorrhoid surgery less painful?
- Could a common blood pressure drug be the key to pain-free hemorrhoid recovery?
- New study finds best way to treat hemorrhoids without surgery
- Herbal capsules aim to ease Post-Surgery constipation without harsh side effects
- Cream showdown: which hemorrhoid ointment works faster?