Related Experiment Videos
Hemorrhoidectomy with posterior perineal block: experience with 400 cases
F Gabrielli1, U Cioffi, M Chiarelli
1University of Milan, Department of General and Thoracic Surgery, Ospedale Maggiore Policlinico, Instituto di Ricovero e Cura a Carattere Scientifico, Italy.
Diseases of the Colon and Rectum
|June 20, 2000
Summary
Regional anesthesia using posterior perineal block is a safe and effective method for hemorrhoidectomy. This technique provides excellent pain relief and allows for overnight stays, making it a feasible option for many patients.
Area of Science:
- Colorectal Surgery
- Anesthesiology
- Pain Management
Background:
- Hemorrhoidectomy is a common surgical procedure.
- Effective pain management and patient recovery are crucial for successful outcomes.
- Regional anesthesia offers an alternative to general anesthesia for surgical procedures.
Purpose of the Study:
- To evaluate the advantages and feasibility of hemorrhoidectomy using regional anesthesia.
- To assess the efficacy of posterior perineal block for intraoperative and postoperative analgesia.
- To determine the suitability of this technique for an overnight-stay regimen.
Main Methods:
- A retrospective analysis of 400 hemorrhoidectomies performed between March 1994 and December 1998.
- Regional anesthesia was achieved via posterior perineal block, targeting deep and superficial nerve plains.
- Patients were managed in an overnight-stay regimen.
Main Results:
- Posterior perineal block was consistently effective, providing optimal to satisfactory intraoperative analgesia in 95.2% of patients.
- No conversions to general anesthesia were required.
- 7.8% of patients experienced urinary retention, and 70% reported no pain for 5-10 hours post-surgery. 92% were discharged within 24 hours.
Conclusions:
- Posterior perineal block is a safe and effective anesthetic technique for radical hemorrhoidectomy.
- It facilitates an overnight-stay regimen with excellent analgesia, sphincter relaxation, and a low incidence of urinary retention.
- Surgeon experience and careful surgical technique are vital for successful outcomes.