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surgery (MAS)
feasibility for every proctological disease in the
elective setting
nerve blocks in proctology is not a new thing
2 admissions
23 complications
(0.6%)
local anaesthesia
and posterior
perineal block
local anaesthesia in
proctology
50% sensitive
perineum and external genitals
skin (scrotum, labia, perineum
y anus)
20% motor
(AES, UES, levator ani,
bulbocavernosus and
ischiocavernosus and
deep+superficial perineum
muscles)
under
spinal anaesthesia
hemorrhoidectomy
WORKS!!!
complement to reduceWORKS!!!
postoperative pain and the need of
analgesic treatment
surgery under GENERAL anaesthesia
+
block performed when surgery is finished (central with nerve
stimulation)
WORKS!!!
WORKS!!!
WORKS!!!
CONCLUSIONS
There are scientific evidences of adequate level in the literature reporting
the effectiveness of the blockade of pudendal nerves in proctology
Although blocking the main trunk seems more effective, the most feasible
technique is peripheral blockade just in the ischiorectal fosa o purely
perianal. Both of them are easy to perform and have a very low rate of
potential complications
Its use will decrease the postoperative pain and the need of analgesic
medication in the postoperative period; then, the most part of the patients
will be properly treated in major ambulatory surgery programs without
hospital admission
We, the surgeons, are in the need to help as much as we can to patients
who need an hemorrohoidal or any proctological operation, and avoiding
pain in any way is a key factor.