Hemorrhoids
Conditions
Keywords
anesthesia, Longo, mucosectomy, hemorrhoids
Brief summary
The purpose of this study is to determine whether local or general anaesthesia in stapled hemorrhoidectomy leads to a shorter operation time with a better patient comfort.
Detailed description
Hemorrhoids are a frequent disease with the need of surgical intervention in 10-20% of the patients. The stapled hemorrhoidectomy according to Longo under general anesthesia (or spinal) is considered standard of care \[1\]. Cohort studies show that a pudendal bloc with local anesthesia is safe and efficient \[2-4\]. The majority of procedures are actually performed in private clinics or in an ambulatory setting underlining the importance of economic issues such as procedure time (anesthesia and operation time) and hospital stay. We hypothesize that stapled hemorrhoidectomy under local anaesthesia shortens anaesthesia time and hospital stay and reduces costs with no disadvantages regarding pain, satisfaction and complication rate.
Interventions
PROCEDURELocal anesthesia (pudendal block)
local anesthesia as indicated
PROCEDUREgeneral anesthesia (spinal and general)
general according to guidelines
Sponsors
University of Lausanne Hospitals
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Hemorrhoids grade III suitable for elective stapled hemorrhoidectomy
Exclusion criteria
* Age \< 18 years * No informed consent * Emergency situation * Contraindication to either anaesthesia method * Patients not speaking french or german. * Additional anal pathology (fissure, tumour).
Countries
Switzerland
Outcome results
None listed