COMPARISON OF LOCAL AND CAUDAL ANESTHESIA IN DAY-CASE ANORECTAL SURGERY (RANDOMIZED CONTROLLED STUDY)

Abstract

A randomized controlled trial was conducted to compare the two regional anesthesia technique used in ambulatory surgery far anorectal diseases with regard to costs, clinical outcome, and patient satisfaction. A total of 50 patients were randomised to either local C group 1) or caudal anesthesia (group II) group. Local anesthesia technique was used in group 1, caudal anesthesia was used in group II respectively. All patients went home on the same day of surgery. A visual analogue pain scare and patient satisfaction questionnaire were administered in postoperative period. During a mean follow-up of 6 weeks, the complications and total medical costs were recorded. There were no differences in the age and sex distributions in both groups. Total medical costs, postoperative complications, time taken off work at the patient were not different between two groups, The pain scores and analgesia requirements were higher in group 1 , but not statistically significant. It has been concluded both anestheshia technique can be used effectively in day-case anorectal surgery.