Potchavit Aphinives1. 1. Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. potchavit@yahoo.com
Abstract
BACKGROUND: Hemorrhoid surgery is mostly being performed as an inpatient procedure under general or regional anesthesia. However, there was a trend toward performing anorectal surgery in an ambulatory setting utilizing local anesthesia. OBJECTIVE: To propose an easy technique of perianal block for ambulatory hemorrhoidectomy. MATERIAL AND METHOD: Between January 2004 and June 2007, 61 patients underwent hemorrhoidectomy under local anesthesia. Lignocaine with adrenaline was injected into the perianal area with an easy technique. RESULTS: Sixty-one patients with a mean age of 41 years underwent ambulatory hemorrhoidectomy. The mean operative time was 21 minutes. Almost all patients preferred to go home, 5-200 km away from this hospital, taking 20 minutes to 4 hours on transportation. CONCLUSION: An easy technique of perianal block provides availability of performing ambulatory hemorrhoidectomy under general surgeons' hands.
BACKGROUND:Hemorrhoid surgery is mostly being performed as an inpatient procedure under general or regional anesthesia. However, there was a trend toward performing anorectal surgery in an ambulatory setting utilizing local anesthesia. OBJECTIVE: To propose an easy technique of perianal block for ambulatory hemorrhoidectomy. MATERIAL AND METHOD: Between January 2004 and June 2007, 61 patients underwent hemorrhoidectomy under local anesthesia. Lignocaine with adrenaline was injected into the perianal area with an easy technique. RESULTS: Sixty-one patients with a mean age of 41 years underwent ambulatory hemorrhoidectomy. The mean operative time was 21 minutes. Almost all patients preferred to go home, 5-200 km away from this hospital, taking 20 minutes to 4 hours on transportation. CONCLUSION: An easy technique of perianal block provides availability of performing ambulatory hemorrhoidectomy under general surgeons' hands.
Authors: Felix Aigner; Friedrich Conrad; Ingrid Haunold; Johann Pfeifer; Andreas Salat; Max Wunderlich; Rene Fortelny; Helga Fritsch; Markus Glöckler; Hubert Hauser; Andreas Heuberger; Judith Karner-Hanusch; Christoph Kopf; Peter Lechner; Stefan Riss; Sebastian Roka; Matthias Scheyer Journal: Wien Klin Wochenschr Date: 2012-03-02 Impact factor: 1.704
Authors: Weisi Xia; Hoani S MacFater; Wiremu S MacFater; Bacil F Otutaha; Ahmed W H Barazanchi; Tarik Sammour; Andrew G Hill Journal: World J Surg Date: 2020-09 Impact factor: 3.352