Urine Retention Rate Between Spinal and General Anesthesia for Anorectal Surgery

Study Overview
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Brief Summary
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Anorectal surgery includes pilonidal sinus, hemorrhoidectomy, anal fissure, and anal fistula operations. General and spinal anesthesia were common anesthetic methods in anorectal surgery. We designed this study to test the hypothesis that general anesthesia was superior than spinal anesthesia with respect to urine retention rate, pain score, recovery time, and side effects.

Detailed Description
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Anorectal surgery includes pilonidal sinus, hemorrhoidectomy, anal fissure, and anal fistula operations. Deep level of anesthesia is required for these surgeries. Excellent operation conditions and rapid recovery is anticipated for optimal anesthesia. Various surgical and anesthetic techniques, including spinal anesthesia, general anesthesia and local infiltration have been used to increase the level of patients' perioperative analgesia and decrease the length of stay in the hospital. Among them, general and spinal anesthesia were common anesthetic methods in anorectal surgery. We designed this study to test the hypothesis that general anesthesia was superior than spinal anesthesia with respect to urine retention rate, pain score, recovery time, and side effects. Inclusion Criteria: >20 years old patients ASA 1-2 patients Patients who will undergo anorectal surgery with including hemorrhoidectomy, fistulectomy, fistulotomy, fissurectomy and anoplasty. Exclusion Criteria: Having known hypersensitivity to amide type local anesthetics Patients ASA >=3 Surgery methods: hemorrhoidopexy, Laser hemorrhoidoplasty Fournier gangrene patients Surgery due to previous complications. Characteristic data Age, Gender, ASA class, Past history: medical history, surgical history Previous anorectal history Type of anorectal surgery, number of hemorrhoidectomy Methods of anesthesia, posture during surgery Postoperative recovery room record: vital sign, Post Anaesthetic Discharge Scoring System (0-10, >9 can discharge) Ward record: vital sign and urine retention need foley catherization

Official Title
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Pain Score and Urine Retention Rate Between Spinal and General Anesthesia for Anorectal Surgery, Retrospective Observation Study

Conditions
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Anorectal Disorder

Intervention / Treatment
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* Procedure: General anesthesia plus local infiltration
* Procedure: Spinal anesthesia


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: >20 years old patients ASA 1-2 patients Patients who will undergo anorectal surgery with including hemorrhoidectomy, fistulectomy, fistulotomy, fissurectomy and anoplasty. Exclusion Criteria: Having known hypersensitivity to amide type local anesthetics Patients ASA >=3 Surgery methods: hemorrhoidopexy, Laser hemorrhoidoplasty Fournier gangrene patients Surgery due to previous complications

Ages Eligible for Study
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Minimum Age: 20 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Anorectal surgery patient under general anesthesia plus local infiltration<br>Anorectal surgery patient under general anesthesia plus local infiltration | Procedure: General anesthesia plus local infiltration<br>* The eligible patients underwent anorectal surgery under general anesthesia (GE, GM, IVG) plus locally injected analgesics.<br>|
| Anorectal surgery patient under spinal anesthesia<br>Anorectal surgery patient under spinal anesthesia alone | Procedure: Spinal anesthesia<br>* The eligible patients underwent anorectal surgery under spinal anesthesia alone.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Urine retention rate | urine retention events needs foley catheterization | 0-24 hours post operation. | 
| Pain score | Visual Analogue Scale (VAS) | 0-24 hours post operation. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| surgery complications | surgery complications | 0-30 days post operative days. | 
| anesthesia complications | anesthesia complications rate | 0-30 days post operative days. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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anorectal surgery, hemorrhoid, anesthesia