Perianal Block for Ambulatory Hemorrhoidectomy, an Easy Technique for General Surgeon
Potchavit Aphinives MD*
Affiliation : * Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Background : Hemorrhoid surgery is mostly being performed as an inpatient procedure under general or
regional anesthesia. However, there was a trend toward performing anorectal surgery in an ambulatory
setting utilizing local anesthesia.
Objective : To propose an easy technique of perianal block for ambulatory hemorrhoidectomy.
Material and Method: Between January 2004 and June 2007, 61 patients underwent hemorrhoidectomy
under local anesthesia. Lignocaine with adrenaline was injected into the perianal area with an easy technique.
Results : Sixty-one patients with a mean age of 41 years underwent ambulatory hemorrhoidectomy. The mean
operative time was 21 minutes. Almost all patients preferred to go home, 5-200 km away from this hospital,
taking 20 minutes to 4 hours on transportation.
Conclusion : An easy technique of perianal block provides availability of performing ambulatory
hemorrhoidectomy under general surgeons’ hands.
Keywords : Hemorrhoidectomy, Local anesthesia, Technique
