title: Haemorrhoidectomy in outpatient practice.
abstract: OBJECTIVE
  To evaluate our results of haemorrhoidectomy done as an outpatient procedure.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  University hospital Bratislava, Slovak Republic.
  
  
  METHODS
  256 patients who required haemorrhoidectomy in 1996-2001.
  
  
  METHODS
  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).
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Day case haemorrhoidectomy is a safe and effective way of reducing costs without increasing morbidity, mortality, and is acceptable to most patients.
authors.affiliation: 1st Department of Surgery, University Hospital Bratislava, Bratislava, Slovak Republic. peterlabas@hotmail.com
authors.forename: Peter
authors.initials: P
authors.lastname: Labas
authors.forename: Bernard
authors.initials: B
authors.lastname: Ohradka
authors.forename: Marek
authors.initials: M
authors.lastname: Cambal
authors.forename: Juraj
authors.initials: J
authors.lastname: Olejnik
authors.forename: Juraj
authors.initials: J
authors.lastname: Fillo
mesh_terms: D000556:Ambulatory Surgical Procedures; D000767:Anesthesia, Epidural; D000772:Anesthesia, Local; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies