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Clinical Trial
. 2001 Feb;22(2):114-6.

Surgical treatment of anal fissures under local anesthesia

A E Al-Raymoony  1
Affiliations
  • PMID: 11299402
Clinical Trial

Surgical treatment of anal fissures under local anesthesia

A E Al-Raymoony. Saudi Med J. 2001 Feb.

Abstract

Objective: To evaluate lateral sphincterotomy under a mixture of local anesthesia versus general anesthesia in the treatment of anal fissures.

Methods: A randomized clinical trial of 62 consecutive patients requiring lateral sphincterotomy was carried out at Princess Haya Al-Hussein Hospital in Jordan. One group underwent lateral sphincterotomy under general anesthesia, while the 2nd group had topical anesthetic cream (xylocaine 2%) applied followed by local anesthesia.

Results: There were no differences between the 2 groups in terms of operating time, postoperative pain, nausea or vomiting, pain-free interval after operation, analgesia requirements or patients satisfaction with the method of anesthesia.

Conclusion: Topical anesthetics and local anesthesia can be used effectively for lateral sphincterotomy and provides an alternative to general anesthesia.

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