Comparative study between saddle block and local anesthesia on excision of pilonidal sinus by using ligaSure

Abstract Background The excision of the pilonidal sinus starts at 1833. Local, spinal, or general anesthetic procedures for the disease are widely used. The excision of the pilonidal sinus by using ligaSure reduces blood loss, reduces procedure time, and reduces patient length of stay. Therefore, th...

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Main Authors: Ayman Esmail Hussien, Amira Ibrahim Fahim
Format: Article
Language:English
Published: SpringerOpen 2020-10-01
Series:Ain Shams Journal of Anesthesiology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s42077-020-00093-8
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author Ayman Esmail Hussien
Amira Ibrahim Fahim
author_facet Ayman Esmail Hussien
Amira Ibrahim Fahim
author_sort Ayman Esmail Hussien
collection DOAJ
description Abstract Background The excision of the pilonidal sinus starts at 1833. Local, spinal, or general anesthetic procedures for the disease are widely used. The excision of the pilonidal sinus by using ligaSure reduces blood loss, reduces procedure time, and reduces patient length of stay. Therefore, the purpose of this study is to compare between local anesthesia and saddle block on the excision of the pilonidal sinus by using ligaSure, with respect to recovery time, postoperative complications, and patient satisfaction. Results Forty patients were analyzed; the mean time of anesthesia, operation time, and operating room time were showing highly significantly lower in group LA when compared to group SA (P value < 0.01). At the postoperative period, patients in group LA experienced less intense postoperative pain with prolonged time of the first request for analgesia than patients in other groups. Conclusion Local anesthesia has more efficacy in early start of anesthesia, early discharge from the hospital with prolonged analgesia, strong hemostasis, more patient satisfaction, and more than saddle block .Therefore, local anesthesia is considered as an alternative to the saddle block on the excision of the pilonidal sinus by using ligaSure.
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spelling doaj.art-1102c2130991401795098368331b9cb52022-12-22T01:33:45ZengSpringerOpenAin Shams Journal of Anesthesiology2090-925X2020-10-011211610.1186/s42077-020-00093-8Comparative study between saddle block and local anesthesia on excision of pilonidal sinus by using ligaSureAyman Esmail Hussien0Amira Ibrahim Fahim1Department of Anesthesiology and Intensive Care, Faculty of Medicine, Al-Azhar UniversityDepartment of Anesthesiology and Intensive Care, Faculty of Medicine, Al-Azhar UniversityAbstract Background The excision of the pilonidal sinus starts at 1833. Local, spinal, or general anesthetic procedures for the disease are widely used. The excision of the pilonidal sinus by using ligaSure reduces blood loss, reduces procedure time, and reduces patient length of stay. Therefore, the purpose of this study is to compare between local anesthesia and saddle block on the excision of the pilonidal sinus by using ligaSure, with respect to recovery time, postoperative complications, and patient satisfaction. Results Forty patients were analyzed; the mean time of anesthesia, operation time, and operating room time were showing highly significantly lower in group LA when compared to group SA (P value < 0.01). At the postoperative period, patients in group LA experienced less intense postoperative pain with prolonged time of the first request for analgesia than patients in other groups. Conclusion Local anesthesia has more efficacy in early start of anesthesia, early discharge from the hospital with prolonged analgesia, strong hemostasis, more patient satisfaction, and more than saddle block .Therefore, local anesthesia is considered as an alternative to the saddle block on the excision of the pilonidal sinus by using ligaSure.http://link.springer.com/article/10.1186/s42077-020-00093-8Local anestheticSaddle blockligaSurePilonidal sinus
spellingShingle Ayman Esmail Hussien
Amira Ibrahim Fahim
Comparative study between saddle block and local anesthesia on excision of pilonidal sinus by using ligaSure
Ain Shams Journal of Anesthesiology
Local anesthetic
Saddle block
ligaSure
Pilonidal sinus
title Comparative study between saddle block and local anesthesia on excision of pilonidal sinus by using ligaSure
title_full Comparative study between saddle block and local anesthesia on excision of pilonidal sinus by using ligaSure
title_fullStr Comparative study between saddle block and local anesthesia on excision of pilonidal sinus by using ligaSure
title_full_unstemmed Comparative study between saddle block and local anesthesia on excision of pilonidal sinus by using ligaSure
title_short Comparative study between saddle block and local anesthesia on excision of pilonidal sinus by using ligaSure
title_sort comparative study between saddle block and local anesthesia on excision of pilonidal sinus by using ligasure
topic Local anesthetic
Saddle block
ligaSure
Pilonidal sinus
url http://link.springer.com/article/10.1186/s42077-020-00093-8
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