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Sacrococcygeal local anaesthesia versus general anaesthesia for pilonidal sinus surgery: a prospective randomised trial (2003)

Naja, M. Z. ; Ziade, M. F. ; El Rajab, M.

Oxford, UK : Blackwell Science Ltd

Anaesthesia 58 (2003), S. 0

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ISSN: 1365-2044

Source: Blackwell Publishing Journal Backfiles 1879-2005

Topics: Medicine

Notes: Sixty patients scheduled for pilonidal sinus surgery were prospectively randomly assigned to receive general anaesthesia or sacrococcygeal local anaesthesia with a newly-described technique. Patients in the general anaesthesia group spent more time in the operating theatre and recovery room than did those in the local anaesthesia group (p 〈 0.05). Two thirds (67%) of the patients in the local anaesthesia group left hospital on the day of surgery compared to only 17% of patients in the general anaesthesia group (p 〈 0.05). Visual analogue scale pain scores performed during the 3-day follow-up period favoured the local anaesthetic technique (p 〈 0.05). Postoperative analgesia requirements were greater in the general anaesthesia group than in the local anaesthesia group (p 〈 0.05). The majority of patients and surgeons expressed satisfaction with local anaesthesia. Sacrococcygeal local anaesthesia appears to be a successful alternative to general anaesthesia for pilonidal sinus surgery.

Type of Medium: Electronic Resource

URL: http://dx.doi.org/10.1046/j.1365-2044.2003.03401.x

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