Comparison of Post-Operative Analgesic Requirement in Patients undergoing Hemorrhoidectomy Under Caudal Epidural Anaesthesia Versus Saddle Anaesthesia

• Published in: Pakistan Armed Forces medical journal 2024-08, Vol.74 (4), p.994-998
• Main Authors: Tariq, Waqas, Sarfaraz, Ahmed, Hamza bin Tariq, Sultan Khan, Muhammad Asad, Manzar Abbas Shah Naqvi, Buland, Khalid
• Format: Article
• Language: English
• Subjects: Analgesics; Anesthesia; Caudal epidural anaesthesia, Hemorrhoidectomy; pain; Saddle anaesthesia; Chronic pain; Comparative analysis; Dexmedetomidine; Epidemiology; Epidural; Hemorrhoids; Local anesthesia; Narcotics; Pain management; Patient satisfaction; Patients; Surgeons; Surgery; Surgical outcomes
• ISSN: 0030-9648; 2411-8842
• DOI: 10.51253/pafmj.v74i4.7877

Objective: To compare post-operative analgesic requirements in patients undergoing hemorrhoidectomy under caudal epidural anaesthesia versus saddle anaesthesia. Study Design: Quasi Experimental Study. Place and Duration of Study: Combined Military Hospital, Rawalpindi Pakistan, Feb to Nov 2021. Methodology: The study was conducted on 200 patients who underwent hemorrhoidectomy during the study period. Patients were randomized into two groups. Group-A received caudal epidural anaesthesia, while Group-B received saddle anaesthesia. The pain at the surgical site was recorded on a visual analogue scale 04 hours and 08 hours after the surgical procedure. The difference in significant post-operative pain and the requirement of opioid analgesia was compared. Results: Out of 200 patients randomized into two groups, 96(48%) were categorized into Group-A, and 104(52%) were categorized into Group-B. The mean age of patients who were operated for hemorrhoids in our study was 41.56±6.98 years. Patients who received caudal epidural anaesthesia had more chances of not having significant post-operative pain at 04 and 08 hours after the surgery as compared to those who received saddle anaesthesia (p-value