Lacerda-Filho A, Cunha-Melo J R
Department of Surgery, School of Medicine, University Hospital, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Eur J Surg. 1997 Dec;163(12):935-40.
To compare early and late results and costs of outpatient haemorrhoidectomy under local anaesthesia with those of inpatient haemorrhoidectomy.
Prospective study with historical controls.
University hospital, Brazil.
51 patients who required haemorrhoidectomy.
Outpatient haemorrhoidectomy under local anaesthesia.
Early and late results and comparative costs.
One patient was withdrawn from the study because of hypertension and subsequently lost to follow-up. The remaining 50 patients were discharged a mean of 68 (23) minutes after operation. Twelve patients complained of severe pain, one had faecal impaction and 2 developed bleeding. One patient developed urinary retention, compared with 18 in the historical group (p < 0.001). Forty-two patients (84%) were thoroughly satisfied with their treatment. Late complications did not differ significantly from those observed in the historical group. The estimated hospital costs were US$ 313.6 for outpatient, and US$ 716 for inpatient treatment.
Outpatient haemorrhoidectomy under local anaesthesia was safe and comfortable for most patients, with complication rates comparable to or better than those observed after inpatient treatment and at less than half the cost.
比较局部麻醉下门诊痔切除术与住院痔切除术的早期和晚期结果及费用。
有历史对照的前瞻性研究。
巴西大学医院。
51例需要进行痔切除术的患者。
局部麻醉下门诊痔切除术。
早期和晚期结果及比较费用。
1例患者因高血压退出研究，随后失访。其余50例患者术后平均68（23）分钟出院。12例患者主诉严重疼痛，1例出现粪便嵌塞，2例出现出血。1例患者发生尿潴留，而历史对照组有18例（p<0.001）。42例患者（84%）对治疗非常满意。晚期并发症与历史对照组观察到的情况无显著差异。门诊治疗的估计医院费用为313.6美元，住院治疗为716美元。
局部麻醉下门诊痔切除术对大多数患者来说安全且舒适，并发症发生率与住院治疗后观察到的相当或更好，且费用不到住院治疗的一半。
