Randomized clinical study on the analgesic effect of local infiltration versus spinal block for hemorrhoidectomy

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dc.citation.issue3
dc.citation.volume135
dc.contributor.authorBorges, Luis Antonio [UNIFESP]
dc.contributor.authorLeal, Plinio da Cunha [UNIFESP]
dc.contributor.authorRey Moura, Ed Carlos [UNIFESP]
dc.contributor.authorSakata, Rioko Kimiko [UNIFESP]
dc.coverageSao Paulo
dc.date.accessioned2020-07-13T11:53:17Z
dc.date.available2020-07-13T11:53:17Z
dc.date.issued2017
dc.description.abstractBACKGROUND AND OBJECTIVES: Postoperative analgesia and early recovery are important for hospital discharge. The primary objective of this study was to compare the analgesic effectiveness of perianal infiltration and subarachnoid anesthesia for hemorrhoidectomy. The secondary objective was to compare time to discharge, adverse effects and complications. DESIGN AND SETTING: Randomized, prospective and comparative study at Dr. Mario Gatti Hospital. METHODS: Forty patients aged 18-60, in American Society of Anesthesiologists physical status category 1 or 2, were included. The local group (LG) received local infiltration (0.75% ropivacaine) under general anesthesiaen
dc.description.abstractthe spinal group (SG) received subarachnoid block (2 ml of 0.5% bupivacaine). Analgesic supplementation consisted of fentanyl for LG and lidocaine for SG. Postoperative pain intensity, sphincter relaxation, lower-limb strength, time to discharge, analgesic dose over one week and adverse effects were assessed. RESULTS: Eleven LG patients (52.4%) required supplementation, but no SG patients. Pain intensity was higher for LG up to 120 min, but there were no differences at 150 or 180 min. There were no differences in the need for paracetamol or tramadol. Times to first analgesic supplementation and hospital discharge were longer for SG. The adverse effects were nausea, dizziness and urinary retention. CONCLUSIONS: Pain intensity was higher in LG than in SG over the first 2 h, but without differences after 150 and 180 min. Time to first supplementation was shorter in LG. There were no differences in doses of paracetamol and tramadol, or in adverse effects.en
dc.description.affiliationUniv Fed Sao Paulo Unifesp, Sao Paulo, SP, Brazil
dc.description.affiliationUniv Fed Sao Paulo Unifesp, Dept Anesthesia, Sao Paulo, SP, Brazil
dc.description.affiliationHosp Municipal Dr Mario Gatti, Campinas, SP, Brazil
dc.description.affiliationUniv Fed Maranhao UFMA, Dept Med Practice, Sao Luis, MA, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo Unifesp, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo Unifesp, Dept Anesthesia, Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent247-252
dc.identifierhttp://dx.doi.org/10.1590/1516-3180.2017.0001260117
dc.identifier.citationSao Paulo Medical Journal. Sao Paulo, v. 135, n. 3, p. 247-252, 2017.
dc.identifier.doi10.1590/1516-3180.2017.0001260117
dc.identifier.fileS1516-31802017005007101.pdf
dc.identifier.issn1516-3180
dc.identifier.scieloS1516-31802017005007101
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54516
dc.identifier.wosWOS:000406339500007
dc.language.isoeng
dc.publisherAssociacao Paulista Medicina
dc.relation.ispartofSao Paulo Medical Journal
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAnesthesia, localen
dc.subjectAnesthesia, spinalen
dc.subjectAnalgesiaen
dc.subjectPostoperative complicationsen
dc.subjectHemorrhoidectomyen
dc.subjectRandomized controlled trialen
dc.titleRandomized clinical study on the analgesic effect of local infiltration versus spinal block for hemorrhoidectomyen
dc.typeinfo:eu-repo/semantics/article
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