DIATHERMY HAEMORRHOIDECTOMY

UNDER LOCAL ANAESTHESIA

Abstract

Objectives: Hemorrhoids is a common ano-rectal disorder, and heamorridectomy
is universally accepted procedure. Haemorrhoidectomy can be carried out under several
modes of anesthesia. Local anesthetic produce a loss of sensation and muscle paralysis in
a circumscribed area of body by localized effect on peripheral nerve endings. The aim of
this study is determine long term and short term outcome of diathermy haemorrhoidectomy
under local anesthesia, in term of early recovery, hospital stay, postoperative pain, bleeding
and recurrence. Study Design: Cross sectional, descriptive case series study. Period: 24-02-
2014 to 24-02-2015. Setting: Department of General Surgery, Liaquat University of Medical
and Health Sciences Jamshoro / Hyderabad. Method: 50 patients of haemorrhoidectomy. All
patients of III and IV degree hemorrhoids, which are fit for surgery were included whereas
those patients who had previous anal surgery, co-existing disease i.e. Crohn’s disease, chronic
diarrhea illness, malignancy of anal region, hyper sensitivity to local anesthetics were excluded
from the study. Data was collected and analyzed in SPSS version 20.0. Results: A total of 50
patients of haemorrhoidectomy were included. The mean operative time was 15.04 minutes (n
= 50). 9(18.0%, n = 50) patients had the complaint of pain, 15(30.0%, n = 50) patients had
itching around anus. Postoperatively 9(18.0%, n = 50) patients got pain relief within one week,
no post operative bleeding was observed within the one week. Two patients (4.0%, n = 50) had
temporary incontinences infection. Only 1(2.0%, n = 50) patient developed anal stenosis within
the long term period of one month to 1 year. Conclusion: Diathermy hemorrhoidectomy under
local anesthesia feasible, safe and well tolerated by our environment and population.