Urine Retention Rate Between Spinal and General Anesthesia for Anorectal Surgery

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1400 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-01-01

Study Completion Date

2022-09-30

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.

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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

1. Age, Gender, ASA class,
2. Past history: medical history, surgical history
3. Previous anorectal history
4. Type of anorectal surgery, number of hemorrhoidectomy
5. Methods of anesthesia, posture during surgery
6. Postoperative recovery room record: vital sign, Post Anaesthetic Discharge Scoring System (0-10, \>9 can discharge)
7. Ward record: vital sign and urine retention need foley catherization

Conditions

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Anorectal Disorder

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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Anorectal surgery patient under general anesthesia plus local infiltration

General anesthesia plus local infiltration

Intervention Type PROCEDURE

The eligible patients underwent anorectal surgery under general anesthesia (GE, GM, IVG) plus locally injected analgesics.

Anorectal surgery patient under spinal anesthesia

Anorectal surgery patient under spinal anesthesia alone

Spinal anesthesia

Intervention Type PROCEDURE

The eligible patients underwent anorectal surgery under spinal anesthesia alone.

Interventions

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General anesthesia plus local infiltration

The eligible patients underwent anorectal surgery under general anesthesia (GE, GM, IVG) plus locally injected analgesics.

Intervention Type PROCEDURE

Spinal anesthesia

The eligible patients underwent anorectal surgery under spinal anesthesia alone.

Intervention Type PROCEDURE

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

Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No