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
Related Articles
- EP ID EP465501
- DOI 10.21088/ijaa.2349.8471.4217.27
- Views 83
- Downloads 0
Study on Epidural Analgesia during Labour to Control Labour Pain
The severity of labour pain was recognized by the Romans, who termed delivery the poenamagna—the “great pain” or “great punishment.” Pregnancy, though is one of the most pleasant part of a woman’s life is marred by the a...
Are We Performing Hand Hygiene: A Lifesaving Skill Correctly?
This question is asked invariably just like being asked during CPR’s correct method and right timing of practicing hand hygiene to avoid a loss of life to hospital acquired infection (HAI). Are we doing enough? Are we re...
Blood Pressure and Pulse Changes after Injection of Local Anesthesia and Adrenaline in Oral Surgical Procedures
Lignocaine with adrenaline is used in oral surgical procedures widely. Catecholamines have a significant role in increasing haemodyanmic parameters like blood pressure, blood glucose level and pulse rate. In this sudy we...
A Comparative Study of 0.5% Levobupivacaine with Dexmedetomidine 50 MCG and 0.5% Levobupivacaine Plain in Supraclavicular Brachial Plexus Block
Context: Several adjuncts are added to local anaesthetic agents to prolong the duration of regional blockade. In this study, we added dexmedetomidine to levobupivacaine for supraclavicular brachial plexus blocks. Aim: To...
Awareness of Operation Theatre and ICU Nurses about Pharmacovigilance: A Questionnaire Based Study
Background & Aim of the Study: The main objective of the Pharmacovigilance programme of India is to create a nationwide system of adverse drug reporting by health care professionals and patients. Nurses are the most esse...