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MGM Journal of Medical Sciences

Article Details

2017 | April-June | Issue2
ORIGINAL ARTICLE
Anorectal Surgeries under Local Anesthesia: A Single Center Experience
Harmandeep S Chahal, Kamakshi Garg, Abhishek Bose, Simran Kaur
10.5005/jp-journals-10036-1144

ABSTRACT

Introduction: Surgeries done under local anesthesia are associated with fewer perioperative risks and postoperative complications compared to general or spinal anesthesia. This study was contemplated to test the feasibility and efficacy of local anesthesia in anorectal surgeries.

Materials and methods: This study was done in the Department of Surgery, Dayanand Medical College & Hospital, Ludhiana, Punjab, India. A total of 50 patients presenting with anorectal problems, aged more than 16 years and qualifying for grades I and II of American Society of Anesthesia classification, were selected for the study, after informed consent. A cocktail of bupivacaine hydrochloride 0.5%, lidocaine 2%, sodium bicarbonate and adrenaline, was injected around the perianal skin. Intraoperative parameters, such as blood pressure, pulse, respiratory rate, and intensity of pain were recorded in all the patients. Each patient was closely monitored postoperatively for timing and frequency of analgesic dose, need for bladder catheterization, immediate and delayed complications, time needed for patient to be ambulant and length of hospital stay.

Results: The duration of procedures was 19 ± 6 (mean ± standard deviation) minutes. Patients required analgesic dose after 4.25 ± 1.14 hours, with almost half (48%) requiring it after 6 hours. Majority of patients (82%) were ambulatory within the 1st hour with a meantime of 50 ± 13 minutes. Three cases had complicated postoperative course, with perianal infection and fissure formation.

Conclusion: Local anesthesia is effective and safe for anorectal surgeries, reducing recuperating time and allowing early ambulation. Such day care procedures, requiring lesser monitoring, can emerge as a preferred technique in low-resource settings, considering their cost-effectiveness.

Key words: Anorectal surgeries, Early ambulation, Local anesthesia, Perioperative complications.

How to cite this article: Chahal HS, Garg K, Bose A, Kaur S. Anorectal Surgeries under Local Anesthesia: A Single Center Experience. MGM J Med Sci 2017;4(2):75-78.

Source of support: Nil

Conflict of interest: None

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