Optimizing Care: Local Anesthesia as a Valuable Tool in the Treatment of Anal Diseases within the Community Healthcare Sphere

Information is provided: It is imperative to ensure adequate pain management in outpatient procedures pertaining to anorectal diseases, as this has a significant impact on patient satisfaction and the speed of recovery.

The objective of this study is to undertake a comparative analysis of infiltration anesthesia and nerve-block anesthesia techniques in the context of patient treatment for anorectal procedures.

Methodology: A prospective randomized controlled trial was conducted in a group of 190 patients diagnosed with anorectal diseases. Patients were then randomly assigned to receive either local anesthesia prior to the procedure. The pain levels experienced by the subjects before and after the procedure VAS were measured at three distinct points in time: during the procedure, immediately after, and 24 hours after the procedure. The statistical analyses performed included t-tests and analysis of variance (ANOVA), with the objective of examining the differences in pain scores between the two groups.

The results of the study are as follows: Patients receiving Group 2 got neuraxial anesthesia reported significantly lower pain scores during the procedure and higher levels of satisfaction in the nerve block group (85% vs. 60%, P < 0.05). No significant complications were observed in either group. Conclusions: The authors conclude that nerve block anesthesia offers superior pain control in comparison to regional anesthesia during anorectal procedures and may consequently result in an enhancement in patient satisfaction and compliance with medical care in the future. Further research is required to investigate the long-term results and applicability of nerve block under various clinical conditions.