African Journal of Health Sciences
The Kenya Medical Research Institute (KEMRI)
Vol. 17, No. 3-4, 2010, pp. 42-46
Bioline Code: jh10008
Full paper language: English
Document type: Research Article
Document available free of charge
African Journal of Health Sciences, Vol. 17, No. 3-4, 2010, pp. 42-46
© Copyright 2010 - African Forum for Health Sciences
Open hemorrhoidectomy under local anesthesia for symptomatic hemorrhoids; our experience in Ile –Ife, Nigeria|
Alatise, Olusegun Isaac; Agbakwurul, Augustine E; Takure, Augustine O; Adisa, Adewale O & Akinkuolie, Adekunle A
Background: Ligation-excision hemorrhoidectomy is considered the gold-standard treatment for
prolapsed hemorrhoids. The procedure is commonly done under general or regional anesthesia.
This study is aimed to assess the feasibility and tolerability of open – hemorrhoidectomy under
local anaesthesia in our setting.
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 hemorrhoids were oﬀered Milligan – Morgan hemorrhoidectomy under local
anesthesia. They were assessed for tolerance and complications.
Results: More than 95% of patients tolerated the procedure with manageable complications.
Conclusions: Open excisional hemorrhoidectomy under local anesthesia is feasible, safe and
well tolerated in our environment and may encourage early presentation of patients with piles
Open hemorrhoidectomy; local anesthesia; Nigeria.