Pilonidal Sinus Operations Performed Under Local Anesthesia versus the General Anesthesia: Clinical Trial Study

Area of Science:

• Surgical Anesthesia
• Clinical Trials
• Pilonidal Sinus Disease Management

Background:

• Pilonidal sinus surgery commonly employs local, spinal, or general anesthesia.
• Limited evidence exists to differentiate the efficacy of these anesthetic methods.
• A comparative study was conducted to evaluate local versus general anesthesia for pilonidal sinus surgery.

Purpose of the Study:

• To compare the outcomes of local anesthesia and general anesthesia in patients undergoing pilonidal sinus surgery.
• To assess differences in recovery time, pain, oxygen saturation, and post-operative complications.

Main Methods:

• A clinical trial involving 60 patients with pilonidal sinus disease, divided into local and general anesthesia groups.
• Detailed anesthetic agents and dosages were administered for each group.
• Statistical analysis included the student t-test and Chi-square test.

Main Results:

• The local anesthesia group demonstrated significantly shorter recovery times (P=0.000).
• Higher average pain scores were observed in the general anesthesia group at 3 and 6 hours post-surgery (P<0.001).
• No significant differences were found in post-operative complications or hospital length of stay.

Conclusions:

• Local anesthesia resulted in decreased pain for 48 hours post-surgery and reduced painkiller consumption.
• Shorter recovery time was a key advantage of local anesthesia.
• Local anesthesia is presented as a suitable alternative to general anesthesia for pilonidal sinus surgery.