Local Versus General Anaesthesia in Stapled Hemorrhoidectomy
The purpose of this study is to determine whether local or general anaesthesia in stapled hemorrhoidectomy leads to a shorter operation time with a better patient comfort.
Hemorrhoids Stade III
Procedure: Local anesthesia (pudendal block)
Procedure: general anesthesia (spinal and general)
|Study Design:||Allocation: Randomized
Endpoint Classification: Safety Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Local vs General Anaesthesia in Stapled Hemorrhoidectomy: A Multicentric Controlled Randomized Trial|
|Study Start Date:||October 2007|
|Estimated Study Completion Date:||May 2008|
Hemorrhoids are a frequent disease with the need of surgical intervention in 10-20% of the patients. The stapled hemorrhoidectomy according to Longo under general anesthesia (or spinal) is considered standard of care . Cohort studies show that a pudendal bloc with local anesthesia is safe and efficient [2-4]. The majority of procedures are actually performed in private clinics or in an ambulatory setting underlining the importance of economic issues such as procedure time (anesthesia and operation time) and hospital stay.
We hypothesize that stapled hemorrhoidectomy under local anaesthesia shortens anaesthesia time and hospital stay and reduces costs with no disadvantages regarding pain, satisfaction and complication rate.
|Department of Visceral Surgery, University Hospital Center|
|Lausanne, Switzerland, 1011|
|Study Chair:||Nicolas Demartines, MD||Department of Visceral Surgery, University Hospital Center, Lausanne, Switzerland|