TO COMPARE THE OUTCOME OF MINOR ANORECTAL SURGERIES UNDER LOCAL ANAESTHESIA VERSUS SPINAL ANAESTHESIA

Back Ground: Minor anorectal disease constitutes quite large percentage of cases in surgical out patient department (OPD).This study helps to know the effectiveness of local anaesthesia for day care surgery. Study design: comparative study Materials and Methods: A total of 60 patients were randomly selected into group A(local anaesthesia) and group B(spinal anaesthesia) who underwent minor anorectal surgeries. Each patients detailed history, physical examination, operative details, postoperative complications, length of hospital stay, pain scores, analgesic requirements, and patient satisfaction scores were collected. Results: There were 20 female and 40 male in the study. The mean age was39.53 and 43.17 in group A and group B respectively. The main presenting symptom was bleeding in 26.7 % and 60%, mucous discharge in 23.3 % and 6.7%, and pain 46.7 % and 13.3 % in group A and group B respectively. Out of the study group 60% patients were on non-vegetarian diet, which shows a significant increase in patients with low fibre diet. This is further emphasized by the fact that 60 % of the patients suffer from constipation.Urinary retention was significantly higher in the group receiving spinal anaesthesia (group b). 30 % patients in group b and 6.7 % in group A had post operative retention. Post operative pain score wa