Perianal block for ambulatory hemorrhoidectomy, an easy technique for general surgeon.

ABSTRACT

BACKGROUND: Hemorrhoid surgery is mostly being performed as an inpatient procedure under general or regional anesthesia. However, there was a trend toward performing anorectal surgery in an ambulatory setting utilizing local anesthesia. OBJECTIVE: To propose an easy technique of perianal block for ambulatory hemorrhoidectomy. MATERIAL AND METHOD: Between January 2004 and June 2007, 61 patients underwent hemorrhoidectomy under local anesthesia. Lignocaine with adrenaline was injected into the perianal area with an easy technique. RESULTS: Sixty-one patients with a mean age of 41 years underwent ambulatory hemorrhoidectomy. The mean operative time was 21 minutes. Almost all patients preferred to go home, 5-200 km away from this hospital, taking 20 minutes to 4 hours on transportation. CONCLUSION: An easy technique of perianal block provides availability of performing ambulatory hemorrhoidectomy under general surgeons' hands.