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KMID : 0356720060220010001
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Journal of the Korean Society of Coloproctology
2006 Volume.22 No. 1 p.1 ~ p.7
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Hemorrhoidectomy Under Local Anesthesia after Pentothal Induction versus Spinal Anesthesia: a Concurrent Nonrandomized Prospective Study
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Kang Chung-Hoon
Lee Sang-Woo
Shin Hyeon-Keun
Jung Seung-Kyu
Choi Jae-Pyo
Yang Hyung-Kyu
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Abstract
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Purpose: The aim of this study was to evaluate the effectiveness of local anesthesia compared to spinal anesthesia and the usefulness of pentothal induction before infiltration of a local anesthetic agent.
Methods: A concurrent non-randomized prospective study was conducted on 52 patients who underwent a hemorrhoidectomy. For the spinal anesthesia (SA) group (n=29), 0.5% heavy bupivacaine (MarcaineⰒ), 5 mg (1 ml), was used, and for the local anesthesia (LA) group (n=23), pentothal, 3.3 mg/kg, was administrated intravenously prior to infiltration of a mixture of local anesthetics (2% lidocaine, 14 ml, with 0.5% bupivacaine, 7 ml).
Results: There were no differences between the two groups in terms of operating time, postoperative pain, headache, urinary difficulty, nausea or vomiting, pain-free interval after operation, analgesic requirements, and patient’s or surgeon’s satisfaction. Postoperative ambulation was earlier in the LA group than in the SA group.
Conclusions: Local anesthesia after pentothal induction can be used effectively for a hemorrhoidectomy and may be a safe alternative to spinal anesthesia. J Korean Soc Coloproctol 2006;22:1-7
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KEYWORD
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Hemorrhoidectomy, Pentothal, Local anesthesia
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