Zafar Arshad, Ahmad Sajjad, Ali Ansari Johar
Ayub Medical College, House No. 207, Street No. 2, Jinnahabad, Abbottabad, Pakistan.
Trop Doct. 2009 Apr;39(2):69-70. doi: 10.1258/td.2008.080128.
We report on 100 patients (88 men and 12 women) who underwent ligation-excision haemorrhoidectomy for prolapsing haemorrhoids in an outpatient office setting under local anaesthesia. Operating time, complications during procedure, postoperative complications and patient satisfaction with the procedure were analysed. The mean operating time was 55 (40-90) minutes. Ninety-seven were discharged three to five hours after surgery. Three patients were directly admitted to the hospital after surgery. One patient was readmitted after discharge. Severe postoperative pain occurred in eight; three suffered urinary retention; 88% were satisfied with the surgery but 12% were not. This study shows that, in selected patients, performing ligation-excision haemorrhoidectomy under local anaesthesia in the outpatient office setting is safe and viable.
我们报告了100例患者（88例男性和12例女性），他们在门诊局部麻醉下接受了结扎切除术治疗脱垂性痔疮。分析了手术时间、手术过程中的并发症、术后并发症以及患者对该手术的满意度。平均手术时间为55（40 - 90）分钟。97例患者术后3至5小时出院。3例患者术后直接住院。1例患者出院后再次入院。8例出现严重术后疼痛；3例出现尿潴留；88%的患者对手术满意，但12%的患者不满意。本研究表明，对于选定的患者，在门诊局部麻醉下进行结扎切除痔切除术是安全可行的。
