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Papers of the Week

2020 May 07

World J Surg

Local Anaesthesia Alone Versus Regional or General Anaesthesia in Excisional Haemorrhoidectomy: A Systematic Review and Meta-Analysis.


Xia W, MacFater HS, MacFater WS, Otutaha BF, Barazanchi AWH, Sammour T, Hill AG
World J Surg. 2020 May 07.
PMID: 32383052.


Excisional haemorrhoidectomy has been traditionally performed under general or regional anaesthesia. However, these modes are associated with complications such as nausea, urinary retention and motor blockade. Local anaesthesia (LA) alone has been proposed to reduce side effects as well as to expedite ambulatory surgery. This systematic review aims to assess LA versus regional or general anaesthesia for excisional haemorrhoidectomy.