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366750

STAPLED HAEMORRHOIDOPEXY LOCAL VERSUS GENERAL ANESTHESIA

Article

Last updated: 29 Dec 2024

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Abstract

Background: This simple randomized study is to evaluate the ability of performing stapled 
haemorrhoidopexy under local anesthesia. 
Methods: Between January 2010 and May 2012, fifty patients with haemorrhoid disease were randomized to 
receive local or general anesthesia for stapled haemorrhoidopexy. Sub mucosal block was added after 
applying the purse-string suture in local anaesthesia group. Patients reported peak pain daily for 10 days 
using a visual analogue scale (VAS). They also completed anal symptoms questionnaires before the 
operation and during follow up. 
Results: The anal block was sufficient in all patients, general anaesthesia group mean symptoms score 
was8.8 before surgery and 1.8 after surgery, while in local anaesthesia group the score was 8.3 before surgery
and 2.2 after surgery Mean change in symptoms load was also similar between the two groups, with score 
differences of 7.0 in the general anesthesia group and 6.1 in local anesthesia group. No patient had a 
recurrence of haemorroids during follow up period.
Conclusion: Perianal local block is easy to apply with high degree of acceptability among patients. Postoperative pain and symptoms resolution were similar to that of stapled haemorrhoidopexy performed under 
general anesthesia.

DOI

10.21608/ejsur.2013.366750

Keywords

Stapler Haemorrhoidopexy, Perianal local block, Postoperative Pain

Authors

First Name

Ahmed

Last Name

Younis

MiddleName

M.

Affiliation

Department of General Surgery, Faculty of Medicine, Al–Azhar University

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Orcid

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First Name

Alaa

Last Name

Gad

MiddleName

A. Salam

Affiliation

Public Health Resident, Research Institute of Medical Entemology, Egypt

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Volume

32

Article Issue

1

Related Issue

49110

Issue Date

2013-01-01

Receive Date

2024-07-14

Publish Date

2013-01-01

Page Start

20

Page End

24

Print ISSN

1110-1121

Online ISSN

1687-7624

Link

https://ejsur.journals.ekb.eg/article_366750.html

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https://ejsur.journals.ekb.eg/service?article_code=366750

Order

366,750

Type

Original Article

Type Code

3,086

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

STAPLED HAEMORRHOIDOPEXY LOCAL VERSUS GENERAL ANESTHESIA

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Article

Created At

21 Dec 2024