Hesham Emad Abdelmaqsoud
Anaesthesia Md, Johns Hopkins Aramco Healthcare, Saudi Arabia
Publications
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Research Article
COMPARISON OF OPEN HEMORRHOIDECTOMY UNDER LOCAL ANESTHESIA VERSUS SADDLE BLOCK: A COST-EFFECTIVENESS AND CLINICAL OUTCOMES ANALYSIS
Author(s): Mohammed Fouad Azhari*, Ahmed Khalid Bawazer, Hesham Emad Abdelmaqsoud, Abdullah waheeb shafey, Abdullah Ali Mohammed Albariqi, Jaber Mohammed Jaber Albariqi, Yaser Mohammed alnouri, Ali Saeed Alqahtani, Muaid Ali Batayib, Nuwayyir bint Suwailem bin Salim Al-Nusairi Al- Sh and Adnan Mohammed Ali Alsaleem
Background: Haemorrhoids are a common anorectal disorder requiring surgical intervention in severe cases. Open haemorrhoidectomy (OH) is a widely performed procedure, with anaesthesia choice significantly impacting patient outcomes and healthcare costs. While saddle block (SB) anaesthesia is frequently used, local anaesthesia (LA) has been proposed as a cost-effective and efficient alternative, especially in resource-limited settings. Methods: A double-blind, randomized controlled trial (RCT) was conducted to compare the clinical and economic outcomes of OH performed under LA versus SB. A total of 80 patients with 3rd or 4th-degree haemorrhoids were randomly assigned into two groups (40 per group). The study evaluated operative time, hospital stay duration, and cost-effectiveness using a bottom-up cost analysis approach. Data were analyzed u.. Read More»