Local anesthesia versus saddle block for open hemorrhoidectomy: cost-analysis from a randomized, double blind controlled trial

dc.contributor.authorSikakulya, Franck Katembo
dc.contributor.authorSsebuufu, Robinson
dc.contributor.authorOkedi, Francis Xaviour
dc.contributor.authorBaluku, Moris
dc.contributor.authorLule, Herman
dc.contributor.authorKiyaka, Sonye Magugu
dc.contributor.authorMuhumuza, Joshua
dc.contributor.authorMolen, Selamo Fabrice
dc.contributor.authorBassara, Godefroy Nyenke
dc.contributor.authorWaziri, Musa Abbas
dc.contributor.authorKithinji, Stephen Mbae
dc.contributor.authorMugisho Munyerenkana, Leocadie
dc.contributor.authorKagenderezo, Byamungu Pahari
dc.contributor.authorMunihire, Jeannot Baanitse
dc.contributor.authorVahwere, Bienfait Mumbere
dc.contributor.authorKiswezi, Ahmed
dc.contributor.authorKyamanywa, Patrick
dc.date.accessioned2024-04-26T12:37:24Z
dc.date.available2024-04-26T12:37:24Z
dc.date.issued2023-11-22
dc.description.abstractDespite 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 at comparing the cost of OH under LA versus Saddle block among patients with 3rd or 4th degree hemorrhoids. 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$) including medical and non-medical were recorded. We analysed the cost in the two groups (local anesthesia versus saddle block) using SPSS version 23.0. Findings of fifty-eight patients were analysed including 29 participants per group. There was a significant difference in operating time and cost among the two groups (p<0.05). The mean operating time was 15.52±5.34(SD) minutes versus 33.72±11.54 min for OH under LA and SB respectively. The mean cost of OH under LA was 57.42±8.90 US$ compared to 63.38±12.77US$ in SB group. 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 provider. Policy makers should emphasize its applicability in low-income settings to help in the achievement of 2030 global surgery goals.en_US
dc.identifier.issn1472-6963
dc.identifier.urihttps://doi.org/10.1186/s12913-023-10290-4
dc.identifier.urihttp://hdl.handle.net/20.500.12280/3130
dc.language.isoenen_US
dc.publisherBMC Springer Natureen_US
dc.relation.ispartofseriesBMC Health Services Research;23, Article number: 1283 (2023)
dc.subjectCost analysisen_US
dc.subjectOperative timeen_US
dc.subject3rd or 4th degree hemorrhoidsen_US
dc.subjectOpen hemorrhoidectomyen_US
dc.subjectLocal anesthesiaen_US
dc.subjectSaddle blocken_US
dc.subjectUgandaen_US
dc.titleLocal anesthesia versus saddle block for open hemorrhoidectomy: cost-analysis from a randomized, double blind controlled trialen_US
dc.typeArticleen_US

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