POST HEMORRHOIDECTOMY PAIN RELIEF

OUTCOME OF LOCAL ANESTHESIA

Abstract

Background: The aim of my study is to evaluate post-operative pain relief
on patients who had hemorrhoidectomy. Materials and Methods: 300 patients who had
hemorrhoidectomy were divided equally in to three groups, according to anesthesia type,
group 1 (local anesthesia and sedation), while spinal anesthesia was group 2 and general
anesthesia was considered to be group 3. Pain relief, post-operative complications, hospital
staying time were measured and compared between the three groups. Period: Study was
performed between Jan 2012 to Dec 2014. Results: The study showed that patients who had
local anesthesia infiltration and sedation a significant decrease of post-operative total pain
scores at 6/12/18/24 hours of more than 50%,200/240/300/320 out of 1000 points in group II
as compared to 420/500/540/580,700/680/660/660 in 3rd groups respectively. The total postoperative
analgesia doses in the 3 groups were 120:140:180 respectively, total hospital staying
time were 130:210:260 days, headache in the ratio of 0:8:1, urine retention in 0:6:1 patients,
nausea and vomiting in 0:1:5 patients were reduced by 30 %,. P-value < 0.05. On the other
hand, spinal anesthesia which is group 2 showed slight decline of patients numbers who had
respiratory symptoms, hypotension and urticarial.Conclusion: Post-operative pain, analgesia,
total cost, hospital staying time, nausea and vomiting have been significantly reduced by local
anesthesia infiltration compared to non-infiltrated groups while spinal anesthesia had a higher
rate in post-operative urine retention, headache and hypotension compared to local anesthesia
with sedation and general anesthesia. Respiratory symptoms, urticaria, were slightly reduced in
local anesthesia with sedation compared to spinal and general anesthesia.