Local Anesthesia Versus Saddle Block for Open Hemorrhoidectomy: Cost-Analysis From a Randomized, Double Blind Controlled Trial.

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dc.contributor.authorSikakulya, Franck Katembo
dc.contributor.authorSsebuufu, Robinson
dc.contributor.authorOkedi, Xaviour Francis
dc.contributor.authorBaluku, Moris
dc.contributor.authorLule, Herman
dc.contributor.authorKiyaka, Sonye Magugu
dc.contributor.authorMuhumuza, Joshua
dc.contributor.authorSelamo, Fabrice Molen
dc.contributor.authorBassara, Godefroy Nyenke
dc.contributor.authorWaziri, Musa Abbas
dc.contributor.authorKithinji, Stephen Mbae
dc.contributor.authorMugisho, Munyerenkana Leocadie
dc.contributor.authorByamungu, Pahari Kagenderezo
dc.contributor.authorMunihire, Jeannot Baanitse
dc.contributor.authorVahwere, Bienfait Mumbere
dc.contributor.authorKiswezi, Ahmed
dc.contributor.authorKyamanywa, Patrick
dc.date.accessioned2024-06-05T11:23:15Z
dc.date.available2024-06-05T11:23:15Z
dc.date.issued2024
dc.description.abstractBackground Despite the benefits attributed to the use of local anesthesia (LA) for open hemorrhoidectomy (OH) in developed countries, this technique is still not considered as the first-line technique in low-income countries such as Uganda; therefore, we aimed to compare the cost of OH under LA versus Saddle block among patients with 3rd or 4th-degree hemorrhoids. Methods This trial was conducted from December 2021 to May 2022 among patients with primary uncomplicated 3rd or 4th degree hemorrhoids. The operating time and direct costs in (US$) including medical and non-medical were recorded. We analyzed the cost in the two groups (local anesthesia versus saddle block) using SPSS version 23.0. Results Findings of fifty-eight patients were analysed including 29 participants per group. There was a significant difference in operating time and cost among the two groups (p<0.05). The mean operating time was 15.52±5.34(SD) minutes versus 33.72±11.54 min for OH under LA and SB respectively. The mean cost of OH under LA was 57.42±8.90 US$ compared to 63.38±12.77US$ in the SB group. Conclusion The use of local anesthesia for OH was found to have less operating time with high-cost effectiveness. Being affordable, local anesthesia can help to increase the turnover of patients who would otherwise wait for the availability of anesthesia providers. Policymakers should emphasize its applicability in low-income settings to help in the achievement of 2030 global surgery goals. Trial registration Pan African Clinical Trials Registry, PACTR202110667430356. Registered on 08/10/2021.
dc.identifier.citationSikakulya, F. K. et al. (2024).Local Anesthesia Versus Saddle Block for Open Hemorrhoidectomy: Cost-Analysis From a Randomized, Double Blind Controlled Trial. Kabale: Kabale University.
dc.identifier.urihttp://hdl.handle.net/20.500.12493/2025
dc.language.isoen_US
dc.publisherKabale University
dc.subjectCost Analysis
dc.subjectOperative Time
dc.subject3rd
dc.subject4th Degree Hemorrhoids
dc.subjectOpen Hemorrhoidectomy
dc.subjectLocal Anesthesia
dc.subjectSaddle Block
dc.subjectUganda
dc.titleLocal Anesthesia Versus Saddle Block for Open Hemorrhoidectomy: Cost-Analysis From a Randomized, Double Blind Controlled Trial.
dc.typeArticle

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