A COMPARATIVE STUDY OF ANESTHESIA TECHNIQUES USED IN HEMORRHOID SURGERY

Abstract

Background: Open hemorrhoidectomy is commonly believed to be a distressing procedure. However, a successful hemorrhoidectomy can be achieved through a straightforward, open surgery conducted under local anaesthesia (LA). This study assessed the importance of anesthesia techniques related to patients with hemorrhoidectomy. Patients and methods: A comparative study investigated the effectiveness of anesthesia in open hemorrhoidectomy surgery among patients aged 20 to 50 years. The study included demographic data for 120 patients collected from different hospitals in Iraq between February 15th, 2022, and August 9th, 2023. The clinical data was categorized into two groups. The first group comprised 60 cases of patients under local anaesthesia, while the second group consisted of 60 cases of patients under spinal anaesthesia. The postoperative pain of hemorrhoid patients was monitored at 8-hour intervals, 24-hour intervals, three days, and one week using a visual analogue scale (VAS). Results:  The findings indicate that eight patients experienced complications following surgery under local anesthesia, and 16 patients experienced complications following surgery under spinal anesthesia. The most frequent complications observed after hemorrhoid surgery were related to thrombosis. The study evaluated the pain experienced by hemorrhoid patients using the VAS score. The results indicated that pain levels were reduced for patients who received local anesthesia compared to those who received spinal anesthesia. This suggests that local anesthesia is a more effective and efficient option for hemorrhoid pain management. Conclusion: Our study indicates that regional anaesthesia is a more efficient and safer option for both surgeons and patients due to a decreased rate of complications, lower pain scores, and shorter hospital stays for postoperative patients in comparison to spinal anaesthesia.