Open Hemorrhoidectomy With Ligasure™ Under Local or Spinal Anesthesia: A Comparative Study

Area of Science:

• Colorectal Surgery
• Anesthesiology

Background:

• Growing evidence supports local anesthesia for anorectal procedures.
• This study compares local anesthesia in outpatient clinics versus spinal anesthesia in operating rooms for open hemorrhoidectomy.

Purpose of the Study:

• To evaluate the safety and efficacy of local anesthesia versus spinal anesthesia for open hemorrhoidectomy.

Main Methods:

• Sixty-two patients with grade III-IV hemorrhoids underwent LigaSure™ hemorrhoidectomy.
• Thirty procedures used local anesthesia (ropivacaine) in outpatient clinics.
• Thirty-two procedures used spinal anesthesia (bupivacaine) in operating rooms.

Main Results:

• No significant differences in patient demographics or Goligher's grade between groups.
• Postoperative pain, perioperative complications, and reoperation rates were similar.
• Long-term follow-up showed no differences in recurrence or patient satisfaction.

Conclusions:

• Open hemorrhoidectomy with LigaSure™ under local anesthesia in outpatient clinics is safe and effective for selected patients.
• This method is well-tolerated and offers comparable results to spinal anesthesia.