Ahmed Mohammed Kamal; Haitham Mostafa Elmaleh; and Mahmoud Saad Farahat
Mustafa AboEl-Soud, Ashraf El-Sebaie, Ayman Noaman
Mohamed Sabry, (M.Sc.); Ahmed Samir Hosny, M.D.MRCS (ED); Ahmed El Mahrouky. M.D. MRCS (Eng); Ahmed Gamal. M.D. MRCS (Eng)
Aly H. Mebed, 2Ahmed A. Kotb
Hany Abdel Mawla Mohamed M.Sc, Maher Abd ElMoneim M.D, Mohamed EL-Maadawy M.D.
Amr Elbahaey, Amr Abdulbaky, Hasan Soliman, Ashraf Hidayet
Mustafa AboEl-Soud, Ashraf El-Sebaie, Ayman Noaman, Tamer Mousaad
Wael L Tobar, Ahmed Abdel Moaty El Nagaar
Hany A. Balamoun MD FRCS, Mohamed Y. Aly MD MRCS, Ahmed Abd Al Aziz MD MRCS, Mahmoud Ameen MSc
Mohamed Hazem MD, Ashraf Abolfotooh Khalil MD, Sameh Elnomany MD, Amr Ibrahim Fouad MD
Ayman M. A. Ali MD. & Ahmed Gaber Mahmoud MD.
1Al-Salami A., Al- Saleh, Saleh Al-S., Al-Arami A.
1Al-Salami A., 2Mohammed A., 2Abdulelah G., 2†Bakhder I. M.
MoatasemBellah Abdel HameedErfan, Mahmoud FouadReda , Ahmad Gamal El Din Fouad , Mohammed Ali Hassan , Mohamed Hossny El Dessoki
Tarek Hegazy MD , Nader Zaki MD
Bilateral Pudendal Nerves Block for Postoperative Analgesia
Background: Haemorrhoidal disease is a common anorectal condition. The aim of this study was to
evaluate the results of pudendal nerve block for conventional open haemorrhoidectomyand lateral internal
sphincterotomy. Methodology: This is a Prospective study that had been conducted in Cairo University
hospitals in the period between February 2014 and September 2014. The study included 50 patients with
4th degree piles and chronic anal fissures, to whom, conventional open hemorrhoidectomy and lateral
internal sphincterotomy had been performed with or without Pudendal nerve block. Results: Postoperative
pain, the need of additional analgesic therapy are reduced with less effect on restoration of bowel
motionsandon the duration of hospital stay. Conclusion: Pudendal nerve block anaesthesia with local
infiltration is effective as a postoperative analgesia in performing open haemorrhoidectomy.
Keywords: Haemorrhoids, Haemorrhoidectomy, Pudendal nerve block.