Postoperative Pain Assessment and Comparison in Patients of Haemorrhoidectomy under Saddle Spinal Block and Combined Saddle with Caudal Epidural

Dr Sunil Kant Kamra

Abstract: Pain after haemorroidectomy in immediate postoperative hours is severe and extreme at times and needs relief. Various drugs local, oral and parenteral are used to subdue pain with varying success. Design: 100 ASA I and II patients both male and female aged between 20 - 70 years were randomly chosen for group I (50 patients) group II (50 patients) of the study. Group I patients were operated for open haemorrhoidectomy under spinal saddle block and group II patients under combined saddle block and caudal epidural fentanyl. Results: VAS score assessed at 3 hours after surgery was significantly higher in group I than group II and so was Patient controlled analgesia demand. Conclusion: Saddle spinal cord combined with single shot epidural caudally is good and convenient method to provide pain - free postoperative course in open haemorroidectomy patients.

Keywords: Saddle, spinal, epidural, haemorroidectomy