Abstract
Backgrounds:Various methods were defined to prepare patients for the pilonidal sinus surgery including local, spinal, and general anesthesia. But there is no powerful evidence to differ these procedures. Therefore, in the current study, we compared local and general anesthesia in the pilonidal sinus surgery.Methods and Material:In this clinical trial (IRCT201312031786N5) study 60 patients with the pilonidal sinus disease divided to two groups of local anesthesia versus general anesthesia. For local anesthesia we used 6ml of 2% lidocaine with an epinephrine (1:200,000), 6 ml of 0.5% bupivacaine, 1ml fentanyl (50 μg/ml), 1ml clonidine (75 μg/ml) and for general anesthesia fentanyl 1.5 μg.kg-1, thiopental 3-5 mg.kg-1, followed by the trachea intubation facilitated by atracurim 0.5 mg.kg-1 with maintenance of isoflurane 1-3% in nitrous oxygen 70% and oxygen 30%. The student t-test and Chi-square test were applied to evaluate the differences.Results:There were 30 patients with the mean age of 27.43±8.42 years in local anesthesia group and 30 cases with the mean age of 27.5±8.44 years underwent general anesthesia. The recovery time was significantly lower in the local anesthesia group (P=0.000). The oxygen saturation of the general anesthesia group was significantly higher at 1 and 20 minutes after the operation. The average of pain score was significantly higher in general anesthesia group at 3h and 6h after surgery (P<0.001). There were no significant differences in post-operative complications and hospital length of stay.Conclusion:This investigation revealed that local anesthesia has decreased pain during 48 hours after the surgery, shorter recovery time, and the less consumption of painkillers. So, we concluded that we can consider local anesthesia as a good alternative for the general anesthesia in the pilonidal sinus surgery.
Highlights
The pilonidal sinus has been defined as a chronic acquired inflammatory disease which occurs in the hair follicles in the buttock cleft at the bottom of the backbone (Muzi et al, 2010)
There were no significant differences in post-operative complications and hospital length of stay. This investigation revealed that local anesthesia has decreased pain during 48 hours after the surgery, shorter recovery time, and the less consumption of painkillers
The recovery time of the local anesthesia (LA) group was significantly lower compared with the general anesthesia (GA) group (P=0.000)
Summary
The pilonidal sinus has been defined as a chronic acquired inflammatory disease which occurs in the hair follicles in the buttock cleft at the bottom of the backbone (Muzi et al, 2010). The causative factors of the pilonidal sinus are the nature of the hair itself, the force that cusses the hair insertion at the depth of the natal cleft and the vulnerability of skin Aydede, Erhan, Sakarya, & Kumkumoglu, 2001; McCallum et al, 2008; Al-Khamis, McCallum, King, & Bruce, 2010) This disease has a high incidence in young people. The incidence rate of the pilonidal sinus is 26 per 100000 population and it affects males 2.5 times more than females (Akca, Colak, Ustunsoy, Kanik, & Aydin, 2005; Urhan, Kücükel, Topgul, Özer, & Sari, 2002) This disease is associated with a high morbidity and discomfort. It is a cause of isolation from job and society which can result in a large number of the social and economic problems (Aldemir, Kara, Erten, & Taçyıldız, 2003)
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
