title: Open haemorrhoidectomy under local anaesthesia for symptomatic haemorrhoids: An experience from Nigeria.
abstract: OBJECTIVE
  Ligation-excision haemorrhoidectomy is considered to be the gold-standard treatment for prolapsed haemorrhoids. The procedure is commonly done under general or regional anaesthesia. This study aimed to assess the feasibility and tolerability of open haemorrhoidectomy under local anaesthesia.
  
  
  METHODS
  This is a prospective study carried out in Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria, over a 5-year period. All consenting adult patients with prolapsing haemorrhoids were offered Milligan-Morgan haemorrhoidectomy under local anaesthesia. They were assessed for tolerance and complications.
  
  
  RESULTS
  More than 95% of the patients tolerated the procedure with manageable complications.
  
  
  CONCLUSIONS
  Open excisional haemorrhoidectomy under local anaesthesia is feasible, safe and well tolerated in our environment, and may encourage early presentation of patients with piles to hospital.
authors.affiliation: Department of Surgery, Faculty of Clinical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria. segunalatishe@yahoo.co.uk
authors.forename: Olusegun I
authors.initials: OI
authors.lastname: Alatise
authors.forename: Augustine E
authors.initials: AE
authors.lastname: Agbakwuru
authors.forename: Augustine O
authors.initials: AO
authors.lastname: Takure
authors.forename: Adewale O
authors.initials: AO
authors.lastname: Adisa
authors.forename: Akinbolaji A
authors.initials: AA
authors.lastname: Akinkuolie
mesh_terms: D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000473:pathology; D000772:Anesthesia, Local / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D016292:Procedural Sedation; D003251:Constriction, Pathologic / Q000209:etiology / Q000473:pathology; D013505:Digestive System Surgical Procedures / Q000009:adverse effects; D005260:Female; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage*; D008026:Ligation; D008297:Male; D008614:Meperidine; D008875:Middle Aged; D009294:Narcotics / Q000008:administration & dosage*; D009549:Nigeria; D010146:Pain / Q000188:drug therapy / Q000517:prevention & control; D010423:Pentazocine; D019106:Postoperative Hemorrhage / Q000209:etiology*; D013997:Time Factors; D016055:Urinary Retention / Q000209:etiology; D055815:Young Adult
chemical_list: D000779:Anesthetics, Local; D009294:Narcotics; D008012:Lidocaine; D008614:Meperidine; D010423:Pentazocine