Haemorrhoidectomy in outpatient practice.

Peter Labas, Bernard Ohradka, Marek Cambal, Juraj Olejnik, Juraj Fillo
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引用次数: 18

Abstract

Objective: To evaluate our results of haemorrhoidectomy done as an outpatient procedure.

Design: Retrospective study.

Setting: University hospital Bratislava, Slovak Republic.

Subject: 256 patients who required haemorrhoidectomy in 1996-2001.

Interventions: Milligan-Morgan haemorrhoidectomy under local (0.5% lignocaine with adrenaline 1:200,000, 100 ml) or epidural (0.5 bupivacaine, marcain, 20 ml; or 1% lignocaine, 20 ml).

Main outcome measures: Mortality, morbidity, need for admission to hospital, and acceptability to patients.

Results: No patient died. All patients were observed in the recovery room for 0.5-8 hours (mean 5 hours). 23 of the 256 patients (9%) developed minor complications including bleeding (n = 6), pain (n = 15), anal discharge (n = 1), and retention of urine (n = 1). 5 patients (2%) were admitted for pain or retention of urine. During the first 3 days after operation 29 patients required increased analgesia for discomfort. 223 patients (87%) were satisfied with outpatient treatment, while the remaining would have preferred to be admitted to hospital.

Conclusion: Day case haemorrhoidectomy is a safe and effective way of reducing costs without increasing morbidity, mortality, and is acceptable to most patients.

痔疮切除术在门诊实践。
目的:评价痔切除术作为门诊手术的效果。设计:回顾性研究。单位:布拉迪斯拉发大学医院,斯洛伐克共和国。对象:1996-2001年间256例痔切除术患者。干预措施:局部(0.5%利多卡因伴肾上腺素1:20万,100 ml)或硬膜外(0.5%布比卡因,marcain, 20 ml;或1%的利多卡因,20毫升)。主要结局指标:死亡率、发病率、住院需求和患者可接受性。结果:无患者死亡。所有患者在康复室观察0.5 ~ 8小时(平均5小时)。256例患者中有23例(9%)出现轻微并发症,包括出血(n = 6)、疼痛(n = 15)、肛门分泌物(n = 1)和尿潴留(n = 1)。5例(2%)患者因疼痛或尿潴留入院。术后前3天,29例患者因不适需要增加镇痛。223例患者(87%)对门诊治疗满意,其余患者倾向于住院治疗。结论:日例痔切除术是一种安全有效的方法,可降低成本,不增加发病率和死亡率,大多数患者可接受。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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