The Authors report their experience of the outpatient treatment of the proctological pathology with a technique of local anaesthesia. From January 1988 to December 1990, 153 patients underwent surgical treatment using the following anesthesiological method: infiltration of the perianal skin and of the epithelium of the anal canal with 5 cc of bupivacaine (0.5%) associated with adrenalin (1/200,000), diluted with the same quantity of normal saline solution, with the patient in a prone position. The tolerance of the method was estimated on the Scott-Huskisson scale (VAS). 95% of patients were satisfied: for 13% of them it was very well tolerated, for 53% of them it was well tolerated and for 29% of them it was tolerated. In no case was general anaesthesia necessary and all the operation were performed in optimal conditions with discharge of the patients after about 3 hours. There were cases of intolerance or complications due to the solution used and no urinary retention in the postoperative period. In spite of the fact that the majority of Authors perform this surgery under general anaesthesia, we believe that the described method of local anaesthesia is effective, tolerated and simple and makes it possible to solve every proctological pathology, with the exception of complex anal fistulas, with the least discomfort for the patients and at a low cost.
|Translated title of the contribution||Presentation of an effective technique of local anaesthesia for the outpatient treatment of the proctological pathology|
|Number of pages||4|
|Publication status||Published - 1991|
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