Scores values tended to decrease postoperatively .
The comparison between haemorrhoidal treatments is still unclear .
Attempts have been made to adopt a unifying postoperative scoring system and thus ensure adequate comparison between clinical trials .
We aim ed to systematic ally review the available outcome scores of haemorrhoidal treatment .
Perianal Local Block for Stapled Anopexy
Purpose This study was design ed to demonstrate the usefulness of a method of regional anesthesia for circular stapler anopexy for prolapsing hemorrhoids . Methods Thirty-three patients consented to stapled anopexy under perianal local anesthesia . Eighteen patients with stapled anopexy under general anesthesia were controls . The perianal block was applied with 40 ml of ropivacaine , 4.75 mg/ml , injected immediately peripheral to the external sphincter . A submucosal block with 15 ml of ropivacaine , 2 mg/ml , was added after applying the pursestring suture .  Postoperative pain was rated by the patient for 14 days by using a ten-point visual analogue scale . Patients also su bmi tted a preoperative and postoperative ( 3–6 months ) symptom question naire to rate anal symptoms . Results No operation was converted to general anesthesia . Operation time was similar in both groups . All patients in the local anesthesia group were pain free at discharge . The sums of pain scores during 14 days for daily average pain and peak pain were similar in both groups ( average pain 23 ( local anesthesia ) vs. 35 ( general anesthesia ) ; peak pain 39 ( local anesthesia ) vs. 50 ( general anesthesia ) ; P > 0.05 ) . The preoperative symptom scores were 7.8 ( local anesthesia ) vs. 8.9 ( general anesthesia ) points , and the follow-up scores were 2.2 ( local anesthesia ) and 2.7 ( general anesthesia ) , a significant improvement ( P = 0.001 ) in both groups but not different between groups . Conclusions A perianal local block is easy to apply and has a high degree of acceptance among patients . The operation time , postoperative pain , and success rates of the operation equaled those of stapled anopexy performed under general anesthesia . The advantages are quicker turnover between cases and simpler management of pain-free postoperative patients in day surgery
Scores values tended to decrease postoperatively .
The comparison between haemorrhoidal treatments is still unclear .
Attempts have been made to adopt a unifying postoperative scoring system and thus ensure adequate comparison between clinical trials .
We aim ed to systematic ally review the available outcome scores of haemorrhoidal treatment .