STAPLED HAEMORRHOIDOPEXY LOCAL VERSUS GENERAL ANESTHESIA | ||
| The Egyptian Journal of Surgery | ||
| Volume 32, Issue 1, January 2013, Pages 20-24 PDF (719.36 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2013.366750 | ||
| Authors | ||
| Ahmed M. Younis* 1; Alaa A. Salam Gad2 | ||
| 1Department of General Surgery, Faculty of Medicine, Al–Azhar University | ||
| 2Public Health Resident, Research Institute of Medical Entemology, Egypt | ||
| Abstract | ||
| Background: This simple randomized study is to evaluate the ability of performing stapled haemorrhoidopexy under local anesthesia. Methods: Between January 2010 and May 2012, fifty patients with haemorrhoid disease were randomized to receive local or general anesthesia for stapled haemorrhoidopexy. Sub mucosal block was added after applying the purse-string suture in local anaesthesia group. Patients reported peak pain daily for 10 days using a visual analogue scale (VAS). They also completed anal symptoms questionnaires before the operation and during follow up. Results: The anal block was sufficient in all patients, general anaesthesia group mean symptoms score was8.8 before surgery and 1.8 after surgery, while in local anaesthesia group the score was 8.3 before surgery and 2.2 after surgery Mean change in symptoms load was also similar between the two groups, with score differences of 7.0 in the general anesthesia group and 6.1 in local anesthesia group. No patient had a recurrence of haemorroids during follow up period. Conclusion: Perianal local block is easy to apply with high degree of acceptability among patients. Postoperative pain and symptoms resolution were similar to that of stapled haemorrhoidopexy performed under general anesthesia. | ||
| Keywords | ||
| Stapler Haemorrhoidopexy; Perianal local block; Postoperative pain | ||
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