Open haemorrhoidectomy under local anaesthesia for symptomatic haemorrhoids: An experience from Nigeria.

作者信息

Alatise Olusegun I, Agbakwuru Augustine E, Takure Augustine O, Adisa Adewale O, Akinkuolie Akinbolaji A

机构信息

Department of Surgery, Faculty of Clinical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.

出版信息

Arab J Gastroenterol. 2011 Jun;12(2):99-102. doi: 10.1016/j.ajg.2011.03.004. Epub 2011 May 31.

DOI:10.1016/j.ajg.2011.03.004

PMID:21684483

Abstract

BACKGROUND AND STUDY AIMS

Ligation-excision haemorrhoidectomy is considered to be the gold-standard treatment for prolapsed haemorrhoids. The procedure is commonly done under general or regional anaesthesia. This study aimed to assess the feasibility and tolerability of open haemorrhoidectomy under local anaesthesia.

PATIENTS AND METHODS

This is a prospective study carried out in Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria, over a 5-year period. All consenting adult patients with prolapsing haemorrhoids were offered Milligan-Morgan haemorrhoidectomy under local anaesthesia. They were assessed for tolerance and complications.

RESULTS

More than 95% of the patients tolerated the procedure with manageable complications.

CONCLUSION

Open excisional haemorrhoidectomy under local anaesthesia is feasible, safe and well tolerated in our environment, and may encourage early presentation of patients with piles to hospital.

摘要