Anesthesia for the Anorectal Surgery

  • Jung Ryul Oh


Most of anal surgeries are performed under regional anesthesia, and small thrombotic hemorrhages, incision and drainage of anal abscess, and condyloma surgery can be performed under local anesthesia. The most effective and convenient anesthetic method and medication should be used considering the patient’s physical condition and age and time and site of operation.


Spinal anesthesia Headache 


  1. 1.
    Ben-David B, Maryanovsky M, Gurevitch A, Lucyk C, Solosko D, Frankel R, et al. A comparison of minidose lidocaine-fentanyl and conventional-dose lidocaine spinal anesthesia. Anesth Analg. 2000;91(4):865–70.CrossRefGoogle Scholar
  2. 2.
    Sa Rego MM, Watcha MF, White PF. The changing role of monitored anesthesia care in the ambulatory setting. Anesth Analg. 1997;85(5):1020–36.CrossRefGoogle Scholar
  3. 3.
    Taylor E, Ghouri AF, White PF. Midazolam in combination with propofol for sedation during local anesthesia. J Clin Anesth. 1992;4(3):213–6.CrossRefGoogle Scholar
  4. 4.
    Arain SR, Ebert TJ. The efficacy, side effects, and recovery characteristics of dexmedetomidine versus propofol when used for intraoperative sedation. Anesth Analg. 2002;95(2):461–6, table of contents.PubMedGoogle Scholar
  5. 5.
    Xu H, Liu Y, Song W, Kan S, Liu F, Zhang D, et al. Comparison of cutting and pencil-point spinal needle in spinal anesthesia regarding postdural puncture headache: a meta-analysis. Medicine (Baltimore). 2017;96(14):e6527.CrossRefGoogle Scholar
  6. 6.
    Richman JM, Joe EM, Cohen SR, Rowlingson AJ, Michaels RK, Jeffries MA, et al. Bevel direction and postdural puncture headache: a meta-analysis. Neurologist. 2006;12(4):224–8.CrossRefGoogle Scholar
  7. 7.
    Strupp M, Brandt T, Muller A. Incidence of post-lumbar puncture syndrome reduced by reinserting the stylet: a randomized prospective study of 600 patients. J Neurol. 1998;245(9):589–92.CrossRefGoogle Scholar
  8. 8.
    Hamzei A, Basiri-Moghadam M, Pasban-Noghabi S. Effect of dexamethasone on incidence of headache after spinal anesthesia in cesarean section. A single blind randomized controlled trial. Saudi Med J. 2012;33(9):948–53.PubMedGoogle Scholar
  9. 9.
    Turnbull DK, Shepherd DB. Post-dural puncture headache: pathogenesis, prevention and treatment. Br J Anaesth. 2003;91(5):718–29.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Jung Ryul Oh
    • 1
  1. 1.Colorectal Division, Department of SurgeryHansol HospitalSeoulSouth Korea

Personalised recommendations