Evaluation of Recovery Profiles of Different Anesthetic Techniques for Ambulatory Anorectal Surgery: A Comparative Study

Different Anesthetic Techniques for Ambulatory Anorectal Surgery

Abstract

Background: Ambulatory surgery encompasses those surgical interventions that are more complex than office-based procedures performed under local anaesthesia but fewer complexes than major procedures requiring at least an overnight stay. Hence; we planned the present study to assess the recovery profiles of different anesthetic techniques for ambulatory anorectal surgery. Subjects and Methods: A total of 90 subjects were included in the present study who were about to undergo anorectal surgery. Random division of all the patients was done into three study groups: Group 1- Patients undergoing ambulatory anorectal surgery under spinal anesthesia, Group 2- Patients undergoing ambulatory anorectal surgery under local anesthesia, and Group 3- Patients undergoing ambulatory anorectal surgery under general anesthesia.  All the subjects were prepared for surgical procedure. According to their respective groups, all the surgeries were performed. A master chart was prepared, where recovery profile of all the subjects was recorded and compared. All the results were analyzed by SPSS software. Results: Mean duration of anesthesia among subjects of group 1, group 2 and group 3 was 74.5 minutes, 43.8 minutes and 79.1 minutes respectively. Mean duration of surgery among the subjects of group 1, group 2 and group 3 was 27.5 minutes, 26 minutes and 26.5 minutes respectively. Mean duration of hospital stay among subjects of group 1, group 2 and group 3 was 260.4 minutes, 131.8 minutes and 255.3 minutes respectively. In the present study, recovery profile of local anesthesia was significantly faster in comparison to the recovery profile of general and spinal anesthesia. Conclusion: Local anesthesia is the most effective technique in terms of recovery profile in patients undergoing ambulatory anorectal surgeries.