PT  - JOURNAL ARTICLE
AU  - Al-Raymoony, Ahmed E.
TI  - Surgical treatment of anal fissures under local anesthesia
DP  - 2001 Feb 01
TA  - Saudi Medical Journal
PG  - 114--116
VI  - 22
IP  - 2
4099  - http://smj.org.sa/content/22/2/114.short
4100  - http://smj.org.sa/content/22/2/114.full
SO  - Saudi Med J2001 Feb 01; 22
AB  - OBJECTIVE: To evaluate lateral sphincterotomy under a mixture of local anesthesia versus general anesthesia in the treatment of anal fissures.METHODS: A randomized clinical trial of 62 consecutive patients requiring lateral sphincterotomy was carried out at Princess Haya Al-Hussein Hospital in Jordan. One group underwent lateral sphincterotomy under general anesthesia, while the 2nd group had topical anesthetic cream (xylocaine 2%) applied followed by local anesthesia.RESULTS: There were no differences between the 2 groups in terms of operating time, postoperative pain, nausea or vomiting, pain-free interval after operation, analgesia requirements or patients satisfaction with the method of anesthesia.CONCLUSION: Topical anesthetics and local anesthesia can be used effectively for lateral sphincterotomy and provides an alternative to general anesthesia.