LATERAL SPHINCTEROTOMY FOR ANAL FISSURE UNDER LOCAL AN ESTHESIA: IS IT FEASIBLE?

Autor:	Geeta Bhandari, Malvika Malvika, Sanjeev Sanjeev, Shahi K S, Prashant Prashant, Rakesh Rakesh, Bhuvan Bhuvan
Rok vydání:	2014
Předmět:	medicine.medical_specialty Anal fissure Nausea business.industry Spinal anesthesia medicine.disease Surgery Anesthesia medicine Vomiting Local infiltration Local anesthesia medicine.symptom business Prospective cohort study Lateral sphincterotomy
Zdroj:	Journal of Evolution of Medical and Dental Sciences. 3:4249-4253
ISSN:	2278-4802 2278-4748
DOI:	10.14260/jemds/2014/2427
Popis:	OBJECTIVE: To compare the effectiveness of mixture of local anesthesia versus spinal anesthesia in lateral sphincterotomy for the treatment of anal fissures. METHODS: A prospective study of 54 patients requiring lateral sphincterotomy for anal fissures. One group comprising 27 patients underwent lateral sphincterotomy under spinal anesthesia while the other group had topical lignocaine (2%) jelly applied followed by local infiltration of lignocaine (2%). RESULTS: There were no significant differences between the 2 groups in terms of operating time, per operative pain, post- operative pain, nausea or vomiting, post-operative requirement of analgesia and patient's acceptability/ satisfaction with method of anesthesia. CONCLUSION: A mixture of topical and local anesthesia can be used effectively for lateral sphincterotomy for treatment of anal fissure and is good alternative to spinal anesthesia.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::847208fd880bba92cf82b86c16555cdf https://doi.org/10.14260/jemds/2014/2427 Zobrazit plný text záznamu