Slovenská chirurgia 1-2/2016
Haemorrhoids and possibilities of treatment using HAL-RAR
The gradual advancement of one-day surgery and conjoint ambulatory anaesthesia results from possibilities to execute mini-invasive surgeries. Such surgeries offer great benefits to the patient due to faster reconvalescence and less pain as well as faster return to normal life. The HAL-RAR method for haemorrhoid surgery, introduced as early as in 1995 by Dr. Morinaga in Japan, is one of such mini-invasive procedures meeting the above mentioned criteria. The goal of our study including 262 patients was research of effects of the spinal and general anaesthesia while monitoring BIS during the surgery. We focused mainly on the need of postoperative analgesia and possibility to discharge patient to home care after the surgery with the above mentioned type of anaesthesia. The need for postoperative analgesia was necessary for the period of 278.25 minutes after the completion of surgery for the general anaesthesia and 325.04 minutes for the spinal anaesthesia after the administration of anaesthetics intrathecally. Key
Keywords: one-day surgery, HAL-RAR, spinal anaesthesia, general anaesthesia
