Altaf Ahmed Talpur, Giiulam Nabi Memon, Nazar Memon, Abdul Hakeem Jamali, Ali Akbar Ghumro.
Comparison between treatment of benign perianal diseases under local anaesthesia and regional or general anaesthesia.
Med Channel Jan ;13(4):22-4.

PURPOSE OF STUDY: - This study aims to evaluate & assess the safety, efficacy & feasibility of different surgical procedures for benign perianal diseases under local anesthesia supplemented with intravenous sedation & comparing it with those which are being performed under general or regional anesthesia. METHODS AND MATERIALS: - 82 patients of benign perianal disease were included in prospective and comparative study which was conducted at a public sector and private hospital, Nawabshah from, 1st Aug: 2006 to 30th April 2007. Patients below the age of 13years, in acute benign perianal disease, and in moribund state were excluded from study. These patients were divided into 2 groups according to the type of anesthesia used for operation. RESULTS: - There were 82 patients in this study. These were divided into 2 groups. Group 1 (42 patients) operated under general anaesthesia or regional anesthesia group II (40 patients) operated in local anaesthesia with intravenous sedation. 54 patients were male & 28 female with a ratio of 2:1. Mean age was 32 yrs. 58 patients (70.7%) were of haemorrhoids, 17 (20.7%) of fistula in ano and 7 patients (8.5%) were of fissure in ano. Haemorrhoidectomy was commonest procedures followed by lateral sphincterotomy, fistulotomy and Seton placement. These patients were assessed for hospital stay, pain during & days after surgery, urinary retention, bleeding P/R, days out of work and any other complication of surgery & anaesthesia. Post operative pain requiring intravenous narcotic analgesic was found more in group II patients while other complications like urinary retention, increased hospital stay & decreased mobilization found in group – I patients. CONCLUSION: - Surgery of Benign perianal disease is safe & feasible under 11,1. it causes decreased cost, hospitalization on patient and hospital.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com