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African Journal of Health Sciences
The Kenya Medical Research Institute (KEMRI)
ISSN: 1022-9272
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

 en 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

Abstract

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 to hospital.

Keywords
Open hemorrhoidectomy; local anesthesia; Nigeria.

 
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