Tailored anal block (TAB): a new anesthesia procedure for surgical treatment of hemorrhoids in an outpatient setting
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Currently, several operations can be performed under local anesthesia in an outpatient setting. This reduces the number of hospital admissions and is cost effective. We propose a new local anesthesia technique for the surgical treatment of hemorrhoids called tailored anal block (TAB).
Selected patients with symptomatic hemorrhoids were treated in the outpatient department under local anesthesia. The exclusion criteria were American Society of Anesthesiologists (ASA) class > II, Lee Index (RCRI) for cardiac risk > 1, body mass index (BMI) > 40 kg/m2, age < 18 years, pregnancy, history of panic attacks. The hemorrhoidal disease was classified according to the Single Pile Hemorrhoid Classification (SPHC)  and to Goligher’s classification. SPHC considers the number of pathological piles (N), the presentation of internal and external pile, possible presence of fibrous pile (F), the presence of subversion of dentate line or congestion of external pile (E),...
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Conflict of interest
The authors declare that they have no conflict of interest.
All the authors of this article declare that all procedures performed in this study, which involved human participants, were in accordance with ethical standards of institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individuals participants included in the study.
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