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首页> 外文期刊>International journal of colorectal disease. >Ligasure versus diathermy hemorrhoidectomy under spinal anesthesia or pudendal block with ropivacaine: a randomized prospective clinical study with 1-year follow-up.
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Ligasure versus diathermy hemorrhoidectomy under spinal anesthesia or pudendal block with ropivacaine: a randomized prospective clinical study with 1-year follow-up.

机译：罗哌卡因在脊髓麻醉或阴部阻滞下的韧带切开术与透热痔切除术：一项为期1年随访的随机前瞻性临床研究。

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PURPOSE: We evaluate the safety and efficacy of a spinal anesthesia with lidocaine versus a local anesthesia of pudendal block with ropivacaine combined with intravenous sedation in the hemorrhoidectomy procedure and also we compared the short- and long-term efficacy of conventional diathermy versus Ligasure diathermy hemorrhoidectomy. METHODS: Seventy-four patients of grade III or IV hemorrhoids were randomized to conventional diathermy hemorrhoidectomy under spinal (n = 19) or local anesthesia (n = 18) and Ligasure diathermy hemorrhoidectomy under spinal (n = 17) or local anesthesia (n = 20). Time of follow-up was 12 months. RESULTS: Patients operated under local anesthesia had less pain (p < 0.01), less analgesic requirements (p < 0.001), shorter hospital stay (p < 0.01), and less postoperative complications (p < 0.05). A shorter operating time (p < 0.001) and less complications at 4 months postoperatively (p < 0.05) was observed in the Ligasure group, but differences at 12 months were not found. CONCLUSIONS: Hemorrhoidectomy under local anesthesia with pudendal block with ropivacaine and sedation reduced postoperative pain, analgesic requirements, and postoperative complications, and can be performed as day-case procedure. Ligasure diathermy hemorrhoidectomy reduced operating time and was equally effective than conventional diathermy in long-term symptom control.
机译：目的：我们评估了利多卡因脊髓麻醉与罗哌卡因联合布丁卡定联合静脉镇静麻醉对阴部阻滞进行局部麻醉的安全性和有效性，并比较了常规透热疗法与Ligasure透热疗法痔疮切除术的短期和长期疗效。方法：将74例III或IV级痔疮患者随机分为在脊髓（n = 19）或局部麻醉（n = 18）和Ligasure脊髓（n = 17）或局部麻醉（n = 20）。随访时间为12个月。结果：局麻下手术患者的疼痛较少（p <0.01），止痛要求较少（p <0.001），住院时间较短（p <0.01），术后并发症较少（p <0.05）。 Ligasure组观察到较短的手术时间（p <0.001）和术后4个月的并发症较少（p <0.05），但在12个月时未发现差异。结论：局麻下采用罗哌卡因和镇静剂进行局部麻醉下痔切除术可减轻术后疼痛，止痛要求和术后并发症，并且可以按日例进行。 Ligasure透热痔切除术可减少手术时间，并且在长期症状控制方面与传统的透热疗法同样有效。

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