RT Journal Article
SR Electronic
T1 Surgical treatment of anal fissures under local anesthesia
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 114
OP 116
VO 22
IS 2
A1 Ahmed E. Al-Raymoony
YR 2001
UL http://smj.org.sa/content/22/2/114.abstract
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.