{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:01:28Z","timestamp":1787018488186,"version":"build-2736575974"},"reference-count":26,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T00:00:00Z","timestamp":1628726400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is increasing evidence that many anorectal surgical procedures may be performed under local anesthesia. The aim of the present study was to evaluate the safety and efficacy of local anesthesia in the outpatient clinic vs spinal anesthesia in the operating room for open hemorrhoidectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Sixty-two patients with grade III or IV hemorrhoids underwent open hemorrhoidectomy with LigaSure\u2122 between 2018 and 2020. Of them, 32 procedures were performed in the operating room under spinal anesthesia with hyperbaric bupivacaine and other 30 procedures were undertaken in the outpatient clinic under local anesthesia with ropivacaine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were no significant differences regarding age, gender, American Society of Anesthesiologists class, and Goligher\u2019s grade in between groups. No significant differences were observed in postoperative pain score (P = .85), perioperative complications (P = .51), and reoperation rate (P = .96). No recurrences and no differences in patients\u2019 satisfaction degree (P = .76) were documented at long-term follow-up in both study groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Our results suggest that open hemorrhoidectomy with LigaSure\u2122 performed in selected patients under local anesthesia in the outpatient clinic is a well-tolerated, safe, and effective procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348211038590","type":"journal-article","created":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T05:08:02Z","timestamp":1628744882000},"page":"671-675","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Open Hemorrhoidectomy With Ligasure\u2122 Under Local or Spinal Anesthesia: A Comparative Study"],"prefix":"10.1177","volume":"89","author":[{"given":"Claudio F.","family":"Feo","sequence":"first","affiliation":[{"name":"Unit of General Surgery 2, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Ninniri","sequence":"additional","affiliation":[{"name":"Unit of General Surgery 2, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cinzia","family":"Tanda","sequence":"additional","affiliation":[{"name":"Unit of General Surgery 2, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Deiana","sequence":"additional","affiliation":[{"name":"Unit of General Surgery 2, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Porcu","sequence":"additional","affiliation":[{"name":"Unit of General Surgery 2, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,8,12]]},"reference":[{"key":"bibr1-00031348211038590","doi-asserted-by":"publisher","DOI":"10.2217\/cer-2020-0159"},{"key":"bibr2-00031348211038590","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-011-1316-3"},{"key":"bibr3-00031348211038590","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v21.i31.9245"},{"key":"bibr4-00031348211038590","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9913"},{"key":"bibr5-00031348211038590","first-page":"CD006761","volume":"1","author":"Nienhuijs S","year":"2009","journal-title":"Cochrane Database Syst 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