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Day care open hemorrhoidectomy under local anesthesia (LA) may be most effective approach to hemorrhoidectomy. We describe a technique for a surgeon to administer local anesthesia himself for open hemorrhoidectomy and also compare outcome and clinical perspectives of hemorrhoidectomy under Local anesthesia with that after open hemorrhoidectomy under spinal anesthesia (SA).

How to do Open Hemorrhoidectomy Under Local Anesthesia and its Comparison with Spinal Anesthesia