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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 8, Issue 3, October 2013 pp 216-217

Research Article

Ambulatory Proctological Surgery as a Novel Method of Practice


Manoj Togale1,Manisha More2, S. S. Shimikore3

{1Assistant Professor, 3Professor, Department of Surgery} {2Assistant Professor, Department of Anatomy}

Jawaharlal Nehru Medical College & KLES, Dr.Prabhakar Kore Hospital, Belgaum, Karnataka, INDIA.


Academic Editor : Dr. Aher K.R.


 In view of time and budget constraints ambulatory proctological sugery is getting popular. Our study is aimed at studying ambulatory proctological surgery as a novel and cost effective method. History finds the beginning of ambulatory anorectal surgery at University of California, Los Angeles in 1962, following which it has evolved over the course of years. Patients who were undergoing elective anorectal surgeries with posterior perineal block as per the inclusion and exclusion criteria at KLES hospital Belgaum between November 2004 to November 2005 formed the subjects of the study, sample size included a total of 30 patients .The present study of  ambulatory proctological surgery as a novel method in todays practice  holds true as all the patients with  posterior perineal block group were ambulatory in less than half an hour of surgery ,Most of the patients had mild pain post operatively.16.7 % patients  had urinary retention postoperatively but it was statistically insignificant. 86.67% of patients in the posterior perineal block group were discharged within 24 hours of operation. From our study we conclude that ambulatory proctological surgery is suggested as a novel method of practice especially under posterior perineal block as there is less amount of post operative pain,patients get discharged early, thereby  reducing costs and making healthcare more affordable.