DIATHERMY HAEMORRHOIDECTOMY

Abstract

Objectives: Hemorrhoids is a common ano-rectal disorder, and heamorridectomyis universally accepted procedure. Haemorrhoidectomy can be carried out under severalmodes of anesthesia. Local anesthetic produce a loss of sensation and muscle paralysis ina circumscribed area of body by localized effect on peripheral nerve endings. The aim ofthis study is determine long term and short term outcome of diathermy haemorrhoidectomyunder local anesthesia, in term of early recovery, hospital stay, postoperative pain, bleedingand recurrence. Study Design: Cross sectional, descriptive case series study. Period: 24-02-2014 to 24-02-2015. Setting: Department of General Surgery, Liaquat University of Medicaland Health Sciences Jamshoro / Hyderabad. Method: 50 patients of haemorrhoidectomy. Allpatients of III and IV degree hemorrhoids, which are fit for surgery were included whereasthose patients who had previous anal surgery, co-existing disease i.e. Crohn’s disease, chronicdiarrhea illness, malignancy of anal region, hyper sensitivity to local anesthetics were excludedfrom the study. Data was collected and analyzed in SPSS version 20.0. Results: A total of 50patients of haemorrhoidectomy were included. The mean operative time was 15.04 minutes (n= 50). 9(18.0%, n = 50) patients had the complaint of pain, 15(30.0%, n = 50) patients haditching around anus. Postoperatively 9(18.0%, n = 50) patients got pain relief within one week,no post operative bleeding was observed within the one week. Two patients (4.0%, n = 50) hadtemporary incontinences infection. Only 1(2.0%, n = 50) patient developed anal stenosis withinthe long term period of one month to 1 year. Conclusion: Diathermy hemorrhoidectomy underlocal anesthesia feasible, safe and well tolerated by our environment and population.