Ambulatory anorectal surgery under perianal anesthetics infiltration: analysis of 222 cases.
Article
Dans Anglais
| IMSEAR
| ID: sea-43734
ABSTRACT
OBJECTIVE:
To assess the safety and early postoperative results of ambulatory anorectal surgery using perianal anesthetics infiltration. MATERIAL ANDMETHOD:
This retrospective study included 222 elective ambulatory anorectal surgical patients under perianal anesthetics infiltration between March 2002 and September 2005. Perioperative pain, postoperative complications, and surgical outcomes were analyzed.RESULTS:
The patients were 122 males and 100 females aged 16-84 (mean 43) years undergoing 150 closed hemorrhoidectomies, 55 lateral internal anal sphincterotomies, 28 fistulotomies, and 3 cauterizations for condyloma acuminata. Perianal block was effective, neither intravenous analgesics nor conversion to general anesthesia was needed. The average pain score was 3.4 +/- 2.3 on day 1 and 1.2 +/- 1.5 on day 7 postoperatively. Urinary retention was found in one case (0.5%). None of the patients needed hospital admission, except one emergency hospitalization (0.5%) due to bleeding.CONCLUSION:
Perianal anesthetics infiltration allows the surgeons to perform anorectal surgery in a day-case regimen safely and effectively with a low incidence of urinary retention.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Canal anal
/
Douleur postopératoire
/
Période postopératoire
/
Rectum
/
Sujet âgé de 80 ans ou plus
/
Sujet âgé
/
Femelle
/
Humains
/
Mâle
/
Études rétrospectives
Type d'étude:
Étude observationnelle
Limites du sujet:
Aged80
langue:
Anglais
Année:
2007
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS