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Outpatient haemorrhoidectomy under local anaesthesia
A Lacerda-Filho1, J R Cunha-Melo
1Department of Surgery, School of Medicine, University Hospital, Federal University of Minas Gerais, Belo Horizonte, Brazil.
The European Journal of Surgery = Acta Chirurgica
|February 4, 1998
Summary
Outpatient hemorrhoidectomy under local anesthesia is safe and cost-effective, offering comparable or better outcomes than inpatient procedures. This approach significantly reduces hospital costs by more than half.
Area of Science:
- Colorectal Surgery
- Surgical Outcomes
- Health Economics
Background:
- Hemorrhoidectomy is a common surgical procedure.
- Traditional inpatient hemorrhoidectomy involves significant costs and potential complications.
- Evaluating outpatient alternatives is crucial for improving surgical care efficiency.
Purpose of the Study:
- To compare the early and late outcomes and costs of outpatient hemorrhoidectomy under local anesthesia versus inpatient hemorrhoidectomy.
Main Methods:
- A prospective study utilizing historical controls was conducted.
- Fifty-one patients requiring hemorrhoidectomy were included.
- Outpatient hemorrhoidectomy under local anesthesia was the intervention studied.
Main Results:
- Fifty patients were discharged a mean of 68 minutes post-operation.
- Urinary retention occurred in 1 patient versus 18 in the historical group (p < 0.001).
- Outpatient treatment cost US$313.6 compared to US$716 for inpatient.
Conclusions:
- Outpatient hemorrhoidectomy under local anesthesia is safe and comfortable for most patients.
- Complication rates were comparable or better than inpatient treatment.
- This approach offers significant cost savings, less than half of inpatient treatment costs.