Open haemorrhoidectomy under local anaesthesia for symptomatic haemorrhoids: An experience from Nigeria

Alatise, Olusegun Isaac; Agbakwuru, Augustine; Takure, Augustine O; Adisa, Adewale; Akinkuolie, Akinbolaji

doi:10.1016/j.ajg.2011.03.004

Cited by 9 publications

(10 citation statements)

References 24 publications

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“…19,20 In this study, mean age was 45.2 years and majority of the patients 19(38.0%, n = 50) were between the age group 31 to 40 years. Alatise OI et al 17 also reported the mean age 44.73 years and he also observed that majority of patients were between the age group 31 to 40 years in his study which correlates well to this study. Another local study of Afridi N et al 21 conducted in Peshawar who showed the mean age 48.7 years which is also comparable to this study while in the study of Keshtkaran A et al 22 the mean age was 40 years so there is no difference of mean age with the other's results among the patients of haemorrhoidectomy.…”

Section: Discussionsupporting

confidence: 88%

“…7 It is hoped that a small number of patients that can lead surgeon, local anesthesia to patients who hemorrhoidectomy offer, as this promotes the presentation of hospital. 8 It is well accepted that the constipation with consequent straining predisposes to hemorrhoids, however it has been shown that diarrhea may also be a risk factor. 9 One of the important causes of Hemorrhoids has been attributed to the wrong posturing as the use of sitting toilets.…”

Section: Introductionmentioning

confidence: 99%

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Diathermy Haemorrhoidectomy; Under Local Anaesthesia

Shaikh

Dalwani

Sushel

et al. 2016

TPMJ

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Hemorrhoids is a common ano-rectal disorder, and heamorridectomy is universally accepted procedure. Haemorrhoidectomy can be carried out under several modes of anesthesia. Local anesthetic produce a loss of sensation and muscle paralysis in a circumscribed area of body by localized effect on peripheral nerve endings. The aim of this study is determine long term and short term outcome of diathermy haemorrhoidectomy under local anesthesia, in term of early recovery, hospital stay, postoperative pain, bleeding and recurrence.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Diathermy Haemorrhoidectomy; Under Local Anaesthesia

Shaikh

Dalwani

Sushel

et al. 2016

TPMJ

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“…Most series reported visual analogue scale score <4 in anal surgery performed under local anaesthesia and were observed in many studies [13,14,15]. However in our study mean VAS was 4.…”

Section: Observation and Resultscontrasting

confidence: 54%

Comparison of local anaesthesia versus spinal anaesthesia for peri anal disorders

et al. 2017

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Background: Peri anal disorders are associated with high morbidity and can be managed surgically both under spinal as well as local anaesthesia. Objectives: The study evaluates the results of anal surgery when performed under local anaesthesia as compared to spinal anaesthesia with respect to parameters like post operative pain, nausea, vomiting, analgesia requirement, voiding problem and bleeding. Material and Methods: The study included 50 patients divided in two groups (A and B) of 25 each. The patients of group A and group B were operated under local and spinal anaesthesia respectively. The patients were assessed postoperatively at 6 hrs, 8 hrs and 12 hrs on day one and then on subsequent days for different parameters like post operative pain, need and duration of analgesia required, bleeding, voiding problems and associated nausea. The results of two groups were then compared and analysed. In group A 56% of patients required analgesia 8 hourly as compared to 40% in group B. No analgesics were required 3 days after the surgery in both the groups. Difficulty in voiding was seen in 12% of patients in group A as compared to 28% in group B. There was no post operative bleeding except for 4 patients in group A. Most of the patients of group A had hospital stay of 2.3±0.46 days postoperatively while those in group B stayed for 3.4±0.53 days. Conclusion: The study reveals favoured local anaesthesia over spinal anaesthesia for peri anal surgeries because of simplicity in administration of anaesthetic agent, less need of analgesia, lesser hospital stay, lesser incidence of nausea and vomiting and no need for catheterisation.

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“…incidence of haemorrhoidal disease was in 4 th and 5 th decade. Alatise OI et al (1) also reported the mean age of 44.73 years 3. Bleeding P/R during defecation was the complaint of almost all patients.…”

mentioning

confidence: 93%

A Descriptive Study of Day Care Stapled Haemorrhoidopexy Surgery in Grade 3˚ and 4˚ Haemorrhoids Under Local Anaesthesia

Shukla¹,

Dhakad²,

K³

et al. 2018

jemds

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BACKGROUND Haemorrhoids are one of the most common afflictions of human beings from times immemorial. It is said that 40 percent of population have symptoms due to haemorrhoids at some time in their lives. Stapled haemorrhoidopexy under local anaesthesia has been emerging as the procedure of choice for symptomatic haemorrhoids. Aims and Objective- To assess the advantage of performing stapled haemorrhoidopexy under local perianal block.  To study the post-operative complications after stapled haemorrhoidopexy.  To assess the feasibility of stapled haemorrhoidopexy in grade III and grade IV haemorrhoids.  To assess the advantages of stapled haemorrhoidopexy in anal skin regression after surgery. MATERIALS AND METHODS 60 patients of grade 3 and 4 haemorrhoids were operated by haemorrhoid stapler under local anaesthesia. RESULTS Stapled haemorrhoidopexy under local anaesthesia can be safely performed as a day care procedure in grade III and grade IV haemorrhoids. Patients following stapled haemorrhoidopexy under local anaesthesia have reduced post-operative pain, hospital stay, analgesic requirements and earlier return to work, early mobility out of bed, less operative time, short learning curve , less operative complications, cost effectiveness and good patient satisfaction. CONCLUSION Stapled haemorrhoidopexy under local anaesthesia is feasible to be used in those patients who are unwilling and unfit for other modes of anaesthesia with similar results with lesser complication rate and as a day care procedure.

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Open haemorrhoidectomy under local anaesthesia for symptomatic haemorrhoids: An experience from Nigeria

Cited by 9 publications

References 24 publications

Diathermy Haemorrhoidectomy; Under Local Anaesthesia

Diathermy Haemorrhoidectomy; Under Local Anaesthesia

Comparison of local anaesthesia versus spinal anaesthesia for peri anal disorders

A Descriptive Study of Day Care Stapled Haemorrhoidopexy Surgery in Grade 3˚ and 4˚ Haemorrhoids Under Local Anaesthesia

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