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국소 마취하 치핵 절제술의 임상적 고찰

Clinical Analysis of the Hemorrhoidectomy with Pure Local Anesthesia

대한대장항문학회지 2007년 23권 1호 p.22 ~ 27
오창석, 이용직, 고수종, 이영택,
소속 상세정보
오창석 ( Oh Chang-Seok ) - 부산성모병원 외과
이용직 ( Lee Yong-Jik ) - 광혜병원 외과
고수종 ( Ko Soo-Jong ) - 광혜병원 외과
이영택 ( Lee Young-Taek ) - 광혜병원 외과

Abstract


Purpose: We hoped to evaluate the possibility of substitution of the local anesthesia for the spinal anesthesia in hemorrhoidectomy.

Methods: We did Milligan-Morgan hemorrhoidectomy under local anesthesia for the sixty- eight patients from January 1998 to December 2005. These patients were compared with seventy-nine patients of spinal anesthesia, sampled with similar gender, age, a surgeon, retrospectively. We used a mixture of 0.5% lidocaine and 1:200,000 epinephrine into perianal skin and intersphincteric space.

Results: The male-to-female ratio was 1:1 in local anesthesia group and 1:0.84 in spinal anesthesia group. The mean age was 50 and 46 respectively. The number of excised pile was 3.9 and 3.8 respectively. The frequency of the analgegics injected within first 24 hours was 1.79 and 2.70 respectively (P=0.001). The frequency of the urinary catheterization was 0.07 and 0.69 respectively (P<0.001). The first bowel movement after surgery was 1.2 days and 1.6 days respectively. The hospital stay was 6.4 days and 8.1 days respectively (P=0.06).

Conclusion: Local anesthesia is simple, safe and effective in the hemorrhoidectomy. J Korean Soc Coloproctol 2007;23:22-27

키워드

치핵 절제술;국소 마취
Hemorrhoidectomy;Local anesthesia

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