Volume : IX, Issue : III, March - 2019

LOCAL ANESTHESIA VERSUS SPINAL ANESTHESIA FOR HAEMORRHOIDECTOMY

Dr Gopal Sharan Singh, Dr Mrityunjay Kumar

Abstract :

Objectives: To evaluate the feasibility of hemorrhoidectomy under local anesthesia and compare this with spinal anesthesia. Patients and Methods: A prospective randomized study was carried out in the Department of surgery JLNMCH Bhagalpur. A total of 70 patients, who were diagnosed as grade III and IV hemorrhoids and underwent hemorrhoidectomy were included in this study, patients were randomized into two groups 35 patient each. Group A underwent surgery under Local anesthesia (mixture of bupivacaine and lidocaine with adrenaline) with IV sedation given to facilitate injection of local anesthesia. Group B had hemorrhoidectomy under spinal anesthesia. Results: Mean pain scores were similar in both groups at 1,2,4 & 12 hrs except at 6 hrs the pain scores in the LA group were significantly lower than SA group (P(P<0.05). There was non–significant difference between both groups as regarding operative time, failure rate, postoperative bleeding, postoperative infection, and delayed wound healing. Conclusion: local anesthesia for hemorrhoidectomy with IV sedation is a safe technique and should be considered as an alternative to regional anesthesia as it provides more postoperative analgesia with lower painscores, no hypotension headache or urine retention

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

LOCAL ANESTHESIA VERSUS SPINAL ANESTHESIA FOR HAEMORRHOIDECTOMY, DR GOPAL SHARAN SINGH, DR MRITYUNJAY KUMAR INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-3 | March-2019

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