Comparison of local anaesthesia versus spinal anaesthesia for peri anal disorders
Journal Title: International Journal of Medical Research and Review - Year 2017, Vol 5, Issue 3
Abstract
Background: Peri anal disorders are associated with high morbidity and can be managed surgically both under spinal as well as local anaesthesia. Objectives: The study evaluates the results of anal surgery when performed under local anaesthesia as compared to spinal anaesthesia with respect to parameters like post operative pain, nausea, vomiting, analgesia requirement, voiding problem and bleeding. Material and Methods: The study included 50 patients divided in two groups (A and B) of 25 each. The patients of group A and group B were operated under local and spinal anaesthesia respectively. The patients were assessed postoperatively at 6 hrs, 8 hrs and 12 hrs on day one and then on subsequent days for different parameters like post operative pain, need and duration of analgesia required, bleeding, voiding problems and associated nausea. The results of two groups were then compared and analysed. In group A 56% of patients required analgesia 8 hourly as compared to 40% in group B. No analgesics were required 3 days after the surgery in both the groups. Difficulty in voiding was seen in 12% of patients in group A as compared to 28% in group B. There was no post operative bleeding except for 4 patients in group A. Most of the patients of group A had hospital stay of 2.3±0.46 days postoperatively while those in group B stayed for 3.4±0.53 days. Conclusion: The study reveals favoured local anaesthesia over spinal anaesthesia for peri anal surgeries because of simplicity in administration of anaesthetic agent, less need of analgesia, lesser hospital stay, lesser incidence of nausea and vomiting and no need for catheterisation.
Authors and Affiliations
Sukha Singh, Sudhir Khichy, Bhupinder Singh, Joginder Pal Attri
Keywords
Related Articles
- EP ID EP270785
- DOI 10.17511/ijmrr. 2017.i03.02
- Views 140
- Downloads 0
A prospective randomized study for comparison of onset time of intubation and intubating conditions using rocuronium with priming and without priming
Background: Rocuronium, a non-depolarizing neuromuscular blocking agent, with priming, can be used as an alternative to succinylcholine for rapid sequence intubation because it produces rapid onset of intubation with com...
Clinical & etiological profile of acute undifferentiated fever in patients admitted to a teaching hospital in Pondicherry
Objectives: To identify the infectious aetiology and clinical features of Acute Undifferentiated Fever among patients admitted to a teaching hospital in Pondicherry. Design: Prospective observational study. Subjects: 270...
EGFR scoring in head and neck squamous cell carcinoma and its association with clinicopathological variables
Background: Head and Neck squamous cell carcinoma (HNSCC) is the seventh most common cancer in the world with poor overall survival rate which is unchanged during the last two decades. Aim: Aim of our study is to measure...
To study the laboratory profile of severe malaria in a tertiary care centre of North India
Introduction: Malaria ranks third among the major infectious diseases in causing deaths- after pneumococcal acute respiratory infections and tuberculosis. It is expected that by the turn of the century malaria would be t...
Study of outcome after fracture reduction and internal fixation with volar locking plates in distal end radius fractures
Background: The distal end radius fractures are common in older age group patients with osteoporosis. There are many treatment modalities both operative and non-operative methods. In osteoporotic patients the volar locki...