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Comparative study of stapled haemorrhoidectomy under local anaesthesia versus spinal anaesthesia

  • Original Article
  • Published:
Hellenic Journal of Surgery

Abstract

Background

The aim of this study is to compare and evaluate the results of stapled haemorrhoidectomy performed under local anaesthesia against those performed under spinal anaesthesia in terms of postoperative pain, bleeding per rectum, the time needed for return to normal bowel habits and resumption of normal physical activities (within one week of surgery), incidence of recurrence and stenosis (within three months of surgery).

Methodology

An open, prospective, single centre randomized controlled trial was conducted at PGIMER, DR. RML Hospital, New Delhi for a period of 15 months w.e.f. 01.11.2011. The study included 50 patients over the age of eighteen years, with bleeding per rectum and grades 3 and 4 haemorrhoids, who were randomized to either local or spinal anaesthesia. Group I included study subjects who had undergone stapler haemorrhoidectomy under local anaesthesia and group II comprised those submitted to the same procedure under spinal anaesthesia.

Results

A significant difference in duration of hospital stay post surgery was noted between the two groups. Those undergoing the procedure under local anaesthesia were discharged far sooner than those receiving spinal anaesthesia. It was also found that the immediate postoperative complications, namely headache and retention of urine, were common among group II patients whereas none of the patients in group I reported similar complaints. Otherwise, there was little significant difference between the two groups in terms of pain scores, postoperative bleeding per rectum, and the time required for the return of normal bowel habits and resumption of normal physical activities

Conclusion

Stapler haemorrhoidectomy under pudendal block with local skin and subcutaneous anaesthesia is a feasible and effective treatment modality.

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Authors and Affiliations

  1. PGIMER, Dr.R.M.L Hospital, New Delhi, India

    Naveen Kumar & Neeti Kapur

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  1. Naveen Kumar
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  2. Neeti Kapur
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Correspondence to Naveen Kumar or Neeti Kapur.

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Kumar, N., Kapur, N. Comparative study of stapled haemorrhoidectomy under local anaesthesia versus spinal anaesthesia. Hellenic J Surg 88, 85–92 (2016). https://doi.org/10.1007/s13126-016-0292-z

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  • DOI: https://doi.org/10.1007/s13126-016-0292-z

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