A Randomized, Controlled Trial Comparing Epidural Block and Spinal Anesthesia for Pilonidal Sinus Surgery
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 4
Abstract
Background: The condition of Pilonidal sinus happens to be a common condition which needs a surgical correction. It comprises of a hair-containing sinus or abscess to be precise. It is seen in the natal cleft of the sacrococcygeal region, and it usually occurs in males, especially young males. Pilonidal sinus is a result of debris accumulated in the cleft, which later gets infected and results as an abscess. Materials and Methods: A randomized, controlled clinical trial was conducted here in our medical hospital and collage so as to compare the effects of spinal anaesthesia and epidural anaesthesia in pilonidal surgery. The study was conducted with the collaboration of department of anaesthesia and department of general surgery, which included 24 subject patients for a period of 15 months. Results: The two groups so developed, group A was assigned to the 12 patients who had under gone the corrective surgery with spinal anaesthesia. The rest 12 were assigned to group B randomly and received epidural anaesthesia. The level of maximal sensorial block was significantly higher in the spinal anaesthesia group than in the epidural group. All patients were infused with 1liter of Ringer’s lactate solution and 1liter of isotonic saline for fluid replacement within 24 hours after the surgery. Conclusion: In our view both spinal anaesthesia and epidural anaesthesia prove to be great use for the treatment of pilonidal corrective surgery, with some possible side effects in the spinal anaesthesia post-operatively.
Authors and Affiliations
Sunita B. Wadekar, Raju Jharbade, Sunita Dhupia, Neil Alwani, Santosh Pancholi
Keywords
Related Articles
- EP ID EP534327
- DOI 10.21276/ijmrp.2018.4.4.028
- Views 104
- Downloads 0
Multiple Myeloma in Relation to Different Geographical Distribution, Socioeconomic Status and Level of Education: A Hospital Based Study at a Tertiary Level Hospital, Guwahati, Assam
Background: The risk factors for multiple myeloma (MM) are not conclusive, because the cause of MM is not clearly known. Researchers believe that MM is most likely the result of many risk factors acting together. Despite...
Need of Anti-Glaucoma Drug Following Nd-YAG Laser Capsulotomy
Objective: Study to evaluate the need of an intra-ocular pressure (IOP) lowering topical agent after Neodymium-Yttrium Aluminum Garnet (Nd-YAG) laser capsulotomy. Methods: 120 patients with mild to moderate posterior cap...
Chikungunya and Dengue Co-Infection: Emerging Insight Threat
Background: Chikungunya virus (CHIKV) and Dengue virus (DENV) are arboviruses transmitted to humans by hematophagous arthropods like Aedes aegypti mosquito. As these diseases cause several clinical symptoms, they have be...
Carcinoma Buccal Mucosa: Incidence of Bone Metastasis
Introduction: Head and neck cancer is a leading health problem in India due to the habit of chewing tobacco and bad oral and dental hygiene. Carcinoma buccal mucosa is more common and is in increasing trade in all malign...
The Study of Facial Index among Medical Students
Background: Craniofacial anthropometry, as an important part of anthropology and medicine, is used for the determination of the morphological characteristics of the head and face. Face shape depends on many factors, such...