Home|Journals|Articles by Year Follow on Twitter

Directory for Medical Articles

Open Access

Original Article

Med Arch. 2015; 69(3): 187-189

Postoperative Outcome Comparison Between Pudendal Nerve Block and Caudal Block After Lateral Open Internal Sphincterotomy

Hazem Mohammad Alkhaldi, Wasfi Mohammad Salaita, Mohammad Ahmad Shabaneh, Mohammad Ibrahim Al-Horut, Raed Mohameh Abu Azzam Aldabbas, Ahmad Ali Uraiqat.

Cited by (1)

Objective: To assess the postoperative outcome between pudendal nerve block and caudal block after open lateral internal sphincterotomy for chronic anal fissure. Methods: Our prospective, randomized and double blind investigation included 123 patients, of both sexes, aged 25-56 years, classed I-II by the American society of anesthesiologists and scheduled for elective open internal lateral sphincterotomy for anal fissure at King Hussein hospital, KHMC, Amman, Jordan, during the period from Jan. 2013 to Feb. 2015. Patients were divided into two groups. Group I included 62 patients (GI, n=62) operated under pudendal nerve block with local infiltration anesthesia and group II included 61 patients (GII, n=61) operated under caudal block. Postoperative pain, surgical duration, period of hospital admission, back to regular working activity and 4 weeks evaluation were compared between the two groups. Results: Postoperative outcome was more enhanced in group II but not significant than in group I. Patients in G-I experienced moderate pain for a mean of 5. 3 days in comparison with 4. 3 days in G-II. P>0. 05. Three patients (4. 9%) in G-II in comparison with 5 patients (8. 1%) in G-I had more hospital stay than 24 hours. Patients in G-II went back to normal activity after a mean of 7. 5 days in comparison with 8. 0 days in G-I. Conclusion: Undergoing open lateral internal sphincterotomy with the aid of Pudendal nerve block is an excellent, easy and safe alternative anesthesia to caudal anesthesia.

Key words: block, caudal, pudendal; outcome: postoperative; sphincterotomy.

Similar Articles

Dysbalance of ACE2 levels - a possible cause for severe COVID-19 outcome in COPD.
FlieƟer E, Birnhuber A, Marsh LM, Gschwandtner E, Klepetko W, Olschewski H, Kwapiszewska G
The journal of pathology. Clinical research. 2021; ():

Epidemiology Profile of Viral Meningitis Infections Among Patients in Qatar (2015-2018).
Mathew S, Al Khatib HA, Al Ansari K, Nader J, Nasrallah GK, Younes NN, Coyle PV, Al Thani AA, Al Maslamani MA, Yassine HM
Frontiers in medicine. 2021; 8(): 663694

A prospective study to compare the operative outcomes of minimally invasive proximal and distal chevron metatarsal osteotomy for moderate-to-severe hallux valgus deformity.
Choi JY, Kim BH, Suh JS
International orthopaedics. 2021; ():

Does cataract surgery in patients with concurrent lower lid malposition increase the risk of postoperative endophthalmitis?
Yarmak P, Lee-Wing M, Rocha G
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie. 2021; ():

Deriving Place of Residence, Modified Rankin Scale, and EuroQol-5D Scores from the Medical Record for Stroke Survivors.
Sucharew H, Kleindorfer D, Khoury JC, Alwell K, Haverbusch M, Stanton R, Demel S, De Los Rios La Rosa F, Ferioli S, Jasne A, Mistry E, Moomaw CJ, Mackey J, Slavin S, Star M, Walsh K, Woo D, Kissela BM
Cerebrovascular diseases (Basel, Switzerland). 2021; (): 1-7

Full-text options

Add your Article(s) to Indexes
• citeindex.org

Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright © ScopeMed® Information Services.