| Title |
Užpakalinis tarpvietės blokas operuojant išangę ir tiesiąją žarną / |
| Translation of Title |
Posterior perineal block in anorectal surgery. |
| Authors |
Poškus, Tomas ; Samalavičius, Narimantas Evaldas ; Drąsutis, Romanas Kęstutis ; Radžiūnas, Gintautas ; Vaitkus, Antanas ; Songaila, Alfredas |
| DOI |
10.15388/LietChirur.2003.3.2411 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2003, t. 1, Nr. 3, p. 266-270.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
posterior perineal block ; regional anaesthesia ; anorectal operations |
| Abstract [eng] |
Objective To evaluate the results of the method of locoregional anaesthesia – the posterior perineal block in anorectal operations. Patients and methods From 10 07 2002 til 18 04 2003 117 patients were operated on for various anorectal diseases at the Departament of Surgery of Vilnius Center University Hospital. A detailed description of the technique of posterior perineal block used in these cases is presented. Results Performed were 29 lateral internal sphincterotomies according to Notaras, 65 closed Nivatvongs haemorrhoidectomies, 11 such haemorrhoidectomies combined with lateral sphincterotomies, 2 fistulectomies for low anorectal fistulae, 3 polypectomies for anal polyps and 7 combined operations (e.g. haemorrhoidectomies with fistulectomies, lateral sphincterotomies with fistulectomies, haemorrhoidectomies with polypectomies), in total 117 operations. Sufficient anaesthesia was induced in all patients, no help from anaesthesiologists was required. No complications of anaesthetics was noted. All the patients felt the introduction of a Fansler proctoscope 3.2 cm in diameter, but they described it as a discomfort and not as pain; 88 patients did not require any analgesic medication on the operation day, and they were discharged on the same day. No cases of urinary retention occurred. Conclusions Posterior perineal block is an effective and safe method of anaesthesia for anorectal operations. Postoperative urinary retention is prevented, the costs of treatment are reduced, conditions for ambulatory surgery are provided by employing this technique. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2003 |
| CC license |
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