Hemorrhoidectomy Under Local Anesthesia after Pentothal Induction versus Spinal Anesthesia: a Concurrent Nonrandomized Prospective Study.
- Author:
Choong Hoon KANG
1
;
Sang Woo LEE
;
Hyeon Keun SHIN
;
Seung Kyu JEONG
;
Jai Pyo CHOI
;
Hyung Kyu YANG
Author Information
1. Department of Colorectal Surgery, Yang Hospital, Seoul, Korea. yangh@yangh.co.kr
- Publication Type:Original Article
- Keywords:
Hemorrhoidectomy;
Pentothal;
Local anesthesia
- MeSH:
Anesthesia, Local*;
Anesthesia, Spinal*;
Anesthetics, Local;
Bupivacaine;
Headache;
Hemorrhoidectomy*;
Humans;
Lidocaine;
Nausea;
Pain, Postoperative;
Prospective Studies*;
Thiopental*;
Vomiting;
Walking
- From:Journal of the Korean Society of Coloproctology
2006;22(1):1-7
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The aim of this study was to evaluate the effectiveness of local anesthesia compared to spinal anesthesia and the usefulness of pentothal induction before infiltration of a local anesthetic agent. METHODS: A concurrent non-randomized prospective study was conducted on 52 patients who underwent a hemorrhoidectomy. For the spinal anesthesia (SA) group (n=29), 0.5% heavy bupivacaine (Marcaine(R)), 5 mg (1 ml), was used, and for the local anesthesia (LA) group (n=23), pentothal, 3.3 mg/kg, was administrated intravenously prior to infiltration of a mixture of local anesthetics (2% lidocaine, 14 ml, with 0.5% bupivacaine, 7 ml). RESULTS: There were no differences between the two groups in terms of operating time, postoperative pain, headache, urinary difficulty, nausea or vomiting, pain-free interval after operation, analgesic requirements, and patient's or surgeon's satisfaction. Postoperative ambulation was earlier in the LA group than in the SA group. CONCLUSIONS: Local anesthesia after pentothal induction can be used effectively for a hemorrhoidectomy and may be a safe alternative to spinal anesthesia.
