Biomaterial Database

Perianal block for ambulatory hemorrhoidectomy, an easy technique for general surgeon. 2009

Potchavit Aphinives

Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. potchavit@yahoo.com

BACKGROUND Hemorrhoid surgery is mostly being performed as an inpatient procedure under general or regional anesthesia. However, there was a trend toward performing anorectal surgery in an ambulatory setting utilizing local anesthesia. OBJECTIVE To propose an easy technique of perianal block for ambulatory hemorrhoidectomy. METHODS Between January 2004 and June 2007, 61 patients underwent hemorrhoidectomy under local anesthesia. Lignocaine with adrenaline was injected into the perianal area with an easy technique. RESULTS Sixty-one patients with a mean age of 41 years underwent ambulatory hemorrhoidectomy. The mean operative time was 21 minutes. Almost all patients preferred to go home, 5-200 km away from this hospital, taking 20 minutes to 4 hours on transportation. CONCLUSIONS An easy technique of perianal block provides availability of performing ambulatory hemorrhoidectomy under general surgeons' hands.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D009407	Nerve Block	Interruption of NEURAL CONDUCTION in peripheral nerves or nerve trunks by the injection of a local anesthetic agent (e.g., LIDOCAINE; PHENOL; BOTULINUM TOXINS) to manage or treat pain.	Chemical Neurolysis,Chemodenervation,Nerve Blockade,Block, Nerve,Blockade, Nerve,Blockades, Nerve,Blocks, Nerve,Chemical Neurolyses,Chemodenervations,Nerve Blockades,Nerve Blocks,Neurolyses, Chemical,Neurolysis, Chemical
D005260	Female		Females
D006484	Hemorrhoids	Swollen veins in the lower part of the RECTUM or ANUS. Hemorrhoids can be inside the anus (internal), under the skin around the anus (external), or protruding from inside to outside of the anus. People with hemorrhoids may or may not exhibit symptoms which include bleeding, itching, and pain.	Hemorrhoid
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D000368	Aged	A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available.	Elderly
D000556	Ambulatory Surgical Procedures	Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.	Ambulatory Surgery,Day Surgery,Office Surgery,Outpatient Surgery,Surgery, Office,Surgery, Outpatient,Ambulatory Surgical Procedure,Procedure, Ambulatory Surgical,Procedures, Ambulatory Surgical,Surgery, Ambulatory,Surgery, Day,Surgical Procedure, Ambulatory,Surgical Procedures, Ambulatory,Ambulatory Surgeries,Day Surgeries,Office Surgeries,Outpatient Surgeries,Surgeries, Ambulatory,Surgeries, Day,Surgeries, Office,Surgeries, Outpatient
D000772	Anesthesia, Local	A blocking of nerve conduction to a specific area by an injection of an anesthetic agent.	Anesthesia, Infiltration,Local Anesthesia,Neural Therapy of Huneke,Huneke Neural Therapy,Infiltration Anesthesia