Haemorrhoidectomy under local anesthesia success and limitation

الملخص

Background  Local anesthesia in hemorrhoid or anal surgery has a reputation for being a painful and risky procedure.
The aim of this study is to determine efficiency and safety of this method of local anesthesia.
Patients & Methods : 60 patients with hemorrhoids underwent surgery under local anesthesia compared to 70 patients under general anesthesia from February 2009 to July 2011.
Effectiveness of anesthesia per-operative monitering, post-operative analgesia and analgesic requirements, post-operative urinary complications.
Results: Of  our  patients  73.3  %  showed  optimal  analgesia  25  %  showed satisfactory analgesia,1.6  % showed poor analgesia and non was converted to general anesthesia.
Concerning post-operative pain a valid analgesia last from 40—180 (mean 96 ) minutes for local anesthesia group and 20—40(34 ) minutes for general anesthesia group. No local or systemic complications were observed during or after surgery that could be attributed to the anesthetic mixture. 
Conclusion: This method appears to be well tolerable, safe and effective, reduce hospitalization  and cost and can be considered as a day clinic procedure.