Document Detail


Outpatient haemorrhoidectomy under local anaesthesia.
MedLine Citation:
PMID:  9449447     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare early and late results and costs of outpatient haemorrhoidectomy under local anaesthesia with those of inpatient haemorrhoidectomy. DESIGN: Prospective study with historical controls. SETTING: University hospital, Brazil. SUBJECTS: 51 patients who required haemorrhoidectomy. INTERVENTIONS: Outpatient haemorrhoidectomy under local anaesthesia. MAIN OUTCOME MEASURES: Early and late results and comparative costs. RESULTS: One patient was withdrawn from the study because of hypertension and subsequently lost to follow-up. The remaining 50 patients were discharged a mean of 68 (23) minutes after operation. Twelve patients complained of severe pain, one had faecal impaction and 2 developed bleeding. One patient developed urinary retention, compared with 18 in the historical group (p < 0.001). Forty-two patients (84%) were thoroughly satisfied with their treatment. Late complications did not differ significantly from those observed in the historical group. The estimated hospital costs were US$ 313.6 for outpatient, and US$ 716 for inpatient treatment. CONCLUSION: Outpatient haemorrhoidectomy under local anaesthesia was safe and comfortable for most patients, with complication rates comparable to or better than those observed after inpatient treatment and at less than half the cost.
Authors:
A Lacerda-Filho; J R Cunha-Melo
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The European journal of surgery = Acta chirurgica     Volume:  163     ISSN:  1102-4151     ISO Abbreviation:  Eur J Surg     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1998-04-08     Completed Date:  1998-04-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9105264     Medline TA:  Eur J Surg     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  935-40     Citation Subset:  IM    
Affiliation:
Department of Surgery, School of Medicine, University Hospital, Federal University of Minas Gerais, Belo Horizonte, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Adult
Ambulatory Surgical Procedures* / economics
Anesthesia, Local*
Case-Control Studies
Costs and Cost Analysis
Female
Hemorrhoids / surgery*
Hospital Costs
Humans
Length of Stay / economics
Male
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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