Proctological outpatient surgery

Marti, M.-C.; Laverrière, C

doi:10.1007/bf00341226

Cited by 9 publications

(7 citation statements)

References 2 publications

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“…4 It has already been reported that several proctological procedure can be safely performed under local anesthesia in an outpatient setting. 7,9,18 Fleischer et al 8 compared the outcomes of local (n = 52) and spinal (n = 28) anesthesia in 80 consecutive patients undergoing anorectal surgical procedures. They found a significantly longer hospital stay that resulted in greater cost for participants in the spinal anesthesia group.…”

Section: Discussionmentioning

confidence: 99%

Open Hemorrhoidectomy With Ligasure™ Under Local or Spinal Anesthesia: A Comparative Study

Feo

Ninniri

Tanda

et al. 2021

The American Surgeon™

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Background There is increasing evidence that many anorectal surgical procedures may be performed under local anesthesia. The aim of the present study was to evaluate the safety and efficacy of local anesthesia in the outpatient clinic vs spinal anesthesia in the operating room for open hemorrhoidectomy. Methods Sixty-two patients with grade III or IV hemorrhoids underwent open hemorrhoidectomy with LigaSure™ between 2018 and 2020. Of them, 32 procedures were performed in the operating room under spinal anesthesia with hyperbaric bupivacaine and other 30 procedures were undertaken in the outpatient clinic under local anesthesia with ropivacaine. Results There were no significant differences regarding age, gender, American Society of Anesthesiologists class, and Goligher’s grade in between groups. No significant differences were observed in postoperative pain score (P = .85), perioperative complications (P = .51), and reoperation rate (P = .96). No recurrences and no differences in patients’ satisfaction degree (P = .76) were documented at long-term follow-up in both study groups. Discussion Our results suggest that open hemorrhoidectomy with LigaSure™ performed in selected patients under local anesthesia in the outpatient clinic is a well-tolerated, safe, and effective procedure.

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Section: Discussionmentioning

confidence: 99%

Open Hemorrhoidectomy With Ligasure™ Under Local or Spinal Anesthesia: A Comparative Study

Feo

Ninniri

Tanda

et al. 2021

The American Surgeon™

View full text Add to dashboard Cite

show abstract

“…Patient selection is mandatory; the criteria are actually well known and listed [1,2,5,6]. These concern the anal margin, anal canal and lower rectum.…”

Section: Discussionmentioning

confidence: 99%

“…The rate of nosocomial infections is reduced. Finally, hospital beds can be occupied by more severe cases [1,2]. There is better administrative management of the operative programme.…”

Section: Discussionmentioning

confidence: 99%

“…Most of our cases were operated with local anaesthesia and posterior perineal block [1,2]. Caudal block was used in cases of extensive septic lesions but in the absence of any pilonidal sinus.…”

Section: Discussionmentioning

confidence: 99%

“…According to national regulations a consent form should be signed by the patient [1]. Strict recommendations should be given to the patient about postoperative care, local hygienic measures, dressings, consumption of alcoholic beverages, analgesics, physical exercise and driving.…”

Section: Discussionmentioning

confidence: 99%

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