title: Local posterior perianal block for proctologic surgery.
abstract: We present our experience with proctologic operations under local posterior perianal block (LPPB), along with short- and medium-term results of this technique. A total of 72 patients with proctologic disorders consented to operation under LPPB for stapled hemorrhoidectomy, Milligan-Morgan hemorrhoidectomy, subanodermal fistula resection, perianal abscess revision, and anal tumor electrocoagulation. The anesthetic technique, postoperative complications, the pain score, and follow-up were recorded and analyzed retrospectively. Almost all patients were pain-free during surgery. The pain score in visual analog scale (VAS) during the first 24 hours was 1.6 to 3.4 and varied with the type of surgery performed. At follow-up 1-2 weeks later, the patients were satisfied with LPPB (mean level of satisfaction, 8.6 +/- 1.2 on the VAS). Seventy of 72 patients (97.2%) would willingly have surgery again under LPPB if it was required. This study shows that LPPB can be widely and safely applied in proctologic surgery.
authors.affiliation: Department of Surgery, Larissa University Hospital, Larissa, Greece. morfula@otenet.gr
authors.forename: Stylianos
authors.initials: S
authors.lastname: Delikoukos
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Zacharoulis
authors.forename: Constantine
authors.initials: C
authors.lastname: Hatzitheofilou
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001003:Anal Canal / Q000294:innervation; D001004:Anus Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods; D012189:Retrospective Studies