ABSTRACT
Background: There are various modalities of treatment available for management of hemorrhoids ranging from conservative measures including dietary measures, sclerotherapy to surgical techniques including band ligation, excision. Appropriate modality should be tailored on individual basis. Objective: To compare the results with those after open hemorrhoidectomy performed under spinal anesthesia (SA) and local anesthesia (LA). Methods: Present randomized controlled trail was carried out in the Department of Surgery, N.S.C.B. Medical College, Jabalpur, 24 cases with hemorrhoids. Cases were randomized with a help of randomization sequence generated with a help of statistician into either local or under SA group. Results: Mean visual analog scale (VAS) score signifi cantly low at 90 min and 6 h in LA group. Post-operative complications such as hypotension, urinary retention, and bleeding are not found in both groups except headache which is signifi cant in SA group. Post-operative hospital stays signifi cantly low in LA group. Conclusion: Open Milligan–Morgan hemorrhoidectomy is feasible under LA. Post-operative outcomes are better under LA in terms of pain, bladder evacuation, hospital stay and cost effectiveness with comparable complications.