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Question
Hello doctor,
Doctor let me ask, does cutting hemorrhoids by Longo method have anesthesia?
Duong Thi Chinh (1982)
Answer
Answered by Specialist I Tran Thi Ngat - Anesthesiologist - Department of General Surgery, Vinmec Danang International Hospital.
Hello,
To the question "Is Longo hemorrhoidectomy with anesthesia?", the doctor would like to answer as follows:
There are 2 numbing methods for Longo hemorrhoidectomy: spinal anesthesia and anesthesia. . The goal of anesthesia or sedation is to keep the patient pain-free, safe, and have the surgery go smoothly.
Currently, spinal anesthesia is chosen as a popular anesthetic method thanks to outstanding advantages such as: the patient is awake without the effect of anesthetic drugs, good muscle pain relief, good postoperative pain relief. than the anesthesia group, avoiding dangerous complications of anesthesia such as aspiration causing pneumonia, hypoxia due to difficult intubation. Spinal anesthesia is very good for Longo hemorrhoidectomy, but it also has contraindications such as patient rejection, coagulation dysfunction, hemostasis, infection at the needle injection site, hemorrhagic shock, Emergency department...
Thus, anesthesia for Longo hemorrhoidectomy will be performed when spinal anesthesia is contraindicated and in case spinal anesthesia fails. There are many studies that show that the failure rate of spinal anesthesia ranges from 1% to 5%. In case of failure, anesthesia is required.
Failure of spinal anesthesia has many levels such as inability to insert the needle into the correct position, failure to respond to anesthesia, partial numbness or pain at certain stages of surgery... In this case, the anesthesiologist will assess the response to anesthesia and weigh the benefits and risks with appropriate indications or levels of sedation and anesthesia.
Through the content of the doctor just mentioned above, cutting hemorrhoids by Longo method can completely choose anesthesia, but you should also consider the advantages of spinal anesthesia method. At Vinmec medical system, we always provide pre-anesthesia and anesthesia services. The anesthesiologist will advise the patient, select the optimal anesthetic options for each specific case to help the patient understand the relevant issues, answer questions, and stabilize their psychology. when entering a major surgery.
If you still have questions about cutting hemorrhoids, you can go to the hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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