Comparative Study of Saddle Anaesthesia versus General Anaesthesia Utilizing I-Gel in Patients with Minimal Invasive Procedure for Hemorrhoids: A Retrospective Study
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2017, Vol 4, Issue 2
Abstract
Background and Aim: MIPH (Minimal invasive procedure for prolapsed piles) is preferred over conventional hemorrhoidectomy and performed at day stay unit. Conventional hemorrhoidectomy patients are usually admitted and operated under saddle anaesthesia. Choice of anaesthesia for MIPH at day care unit needs to consider more safe technique which helps early recovery and discharge with minimum complications. Present study was performed with an aim to compare saddle anaesthesia and general anaesthesia utilizing igel in patients with minimal invasive procedure for hemorrhoids. Material and Method: A total of 60 patients of ASA Grade 1 & 2, between age of 18 and 60yrs undergoing MIPH as day stay surgery were randomly allocated by a computer generated list in to two groups. GroupS received saddle anaesthesia and GroupG received general anaesthesia with igel. Patients were observed for per operative events and post operative pain, nausea, vomiting, urinary retention and postural hypotension. Any adverse events were recorded. Time and Number of patients that could be successfully discharged in both the group were recorded. Results: GroupS had less pain and needed less analgesic as compared to GroupG in immediate post operative period and had less nausea and vomiting but urinary retention and postural hypotension was more common in them which delayed their discharge and needed unplanned admission. Conclusion: Aim of surgery to treat patient at day stay unit could be achieved more by selecting general anaesthesia over saddle anaesthesia with less chances of urinary retention. Saddle anaesthesia is associated with increased risk of unplanned admission after hemorrhoidal day surgery.
Authors and Affiliations
Usha P. Patel
Keywords
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- EP ID EP465501
- DOI 10.21088/ijaa.2349.8471.4217.27
- Views 100
- Downloads 0
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