Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1385
2
1
gregorian
2006
5
1
20
1
online
1
fulltext
en
LATERAL INTERNAL SPHINCTEROTOMY UNDER LOCAL ANESTHESIA: A RANDOMIZED CLINICAL TRIAL
Surgery
Surgery
Original Research
Original Research
<p> <strong>ABSTRACT</strong></p><p> <strong>Background:</strong> Nowadays there is an attempt to perform lateral internal sphincterotomy (LIS) operation on an ambulatory basis under local anesthesia. This study aimed to compare postoperative outcome in local anesthesia with spinal anesthesia.</p><p> <strong>Methods:</strong> A randomized, double blinded, controlled trial was performed on 62 patients divided into group A (Local Anesthesia) and Group B (Spinal Anesthesia) with n=31 equally. To achieve adequate anesthesia a cocktail, 6cc of Lidocaine 2% and Marcaine 0.5% with the addition of some bicarbonate was injected into subcutaneous tissue and 20 cc of this was injected into the intersphincteric space before LIS. Postoperative pain was assessed by a 10 cm VAS.</p><p> Results: Needle pain scores in group A and B were: 2.29 1.40 vs. 16.1 0.88 but pain scores, 6 hours after LIS, before leaving hospital and at the first week after the operation were significantly lower in group A than B (1.90 1.07 vs. 3.77 1.25, 0.90 0.47 vs. 1.65 0.75, 0.71 0.46 vs.1.06 0.51 respectively). Need of opioid and codeine in the first 24 hours after the operation in group A was significantly less than the other group. Also nausea and vomiting in group A was significantly lower than group B.</p><p> <strong>Conclusion:</strong> The study showed that LIS under local anesthesia is a less painful technique in office surgery.</p>
Lateral Internal Sphincterotomy, Local Anesthesia, Pain
37
40
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-203&slc_lang=en&sid=1
S. MOHSEN
TOWLIAT KASHANI
m.towliat@bmsu.ac.ir
20031947532846002291
20031947532846002291
Yes
Colorectal Surgeon, Dept. of Surgery,Baqiyatallah University of Medical Sciences, Tehran, Iran
MARZIE
LAK
20031947532846002292
20031947532846002292
No
General Surgeon, Dept. of Surgery, Baqiyatallah University of Medical Sciences, Tehran, Iran
HASAN-ALI
MOHEBI
20031947532846002293
20031947532846002293
No
Thoracic Surgeon, Dept. of Surgery, Baqiyatallah University of Medical Sciences, Tehran, Iran
FARZAD
PANAHE
20031947532846002294
20031947532846002294
No
Anesthesiologist, Dept. of Anesthesiology,Baqiyatallah University of Medical Sciences, Tehran, Iran