research centers


Search results: Found 2

Listing 1 - 2 of 2
Sort by

Article
MANAGEMENT OF COMPLEX POSTERIOR HORSESHOE ANAL FISTULA BY A MODIFIED HANLEY PROCEDURE: CLINICAL EXPERIENCE AND REVIEW OF 28 PATIENTS

Author: Ibrahim Falih Noori
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2014 Volume: 20 Issue: 1 Pages: 54-61
Publisher: Basrah University جامعة البصرة

Loading...
Loading...
Abstract

Abstract The aim of this prospective study was to document clinical experience in the surgical management of posterior horse shoe fistula of cryptogalndular origin with a modified Hanley procedure using hybrid elastic glove as a one stage cutting seton. A modified Hanley procedure was applied to 28 patients (20 males and 8 females) presented with posterior horseshoe anal fistula (mean age 41 years) for the period from February 2007 to March 2012, and the surgical results were analyzes. The seton used was fashioned from a surgical glove and was tied around the sphincter under less tension in addition to the excision of superficial segment of the lateral tract and deeper extension into ischiorectal spaces were curetted and packed with gauze socked with povidon iodine. Complete healing was achieved in all 28 patients within three months post-operative period. Recurrence was found in only three patients after six month follow up period. All patients were discharged on the same post-operative day (day case surgery). None required readmission and post-operative pain was mild and bearable. Narcotic analgesics were not needed after discharge. All patients were able to return to their works and daily activity in 2-3 weeks. In conclusion, posterior complex horseshoe anal fistula can be safely and successfully treated with modified Hanley procedure with the use of the hybrid elastic seton.


Article
Outcome of Anorectal Surgery Under A Mixture of Local Anesthesia: Experience With 350 Patients

Author: Ibrahim Falih Noori
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2014 Volume: 11 Issue: 4 Pages: 776-784
Publisher: Babylon University جامعة بابل

Loading...
Loading...
Abstract

Background: anal diseases are common surgical problems .Anal surgical operations are usually carried out under general anesthesia and spinal anesthesia. The use of local anesthesia in anal surgery is supposed to be safe, simple and efficient.Purpose: to evaluate the effectiveness and usefulness of local anesthesia for various anal surgeries, and to assess the patient acceptance and satisfaction.Patients and methods: a total of 350 patients with various anal problems presented to different anal surgeries under local anesthetic infiltration for the period from February 2011 to March 2014.Age ranges from 18-72 years (mean 47.7 year).Majority of the patients were males (No. =310, 88.6%) and minority were females (No. = 40, 11.4%).Pain during surgery and postoperatively was evaluated on a visual analog scale. The feasibility, tolerability and patient's satisfaction with the results of operations were assessed and evaluated.Results: The mean operations time was 25 minutes range from 10-45 minutes. The mean pain score in the day of operation was low, (2.8) and the mean pain score in the first postoperative day was also low (3.3).Most patients (82.85%) were satisfied with the results of operations and they would prefer local anesthesia again for anal surgery in the future were necessary. Complications rate in this study was 10.9% and most these complications managed conservatively. Conclusion: perianal block by local anesthetic infiltration is safe, simple and effective for various anal operations with very high degree of acceptance and satisfaction among patients. It had been found to be associated with low pain score and postoperative complications and faster return to daily social activity. The cost saving had been significant.

Listing 1 - 2 of 2
Sort by
Narrow your search

Resource type

article (2)


Language

English (2)


Year
From To Submit

2014 (2)