Randomized Clinical Trial Comparing Local Anesthesia with Spinal Anesthesia for Intestinal Stoma Reversal

Abstract

Objective: To compare the outcome of local anesthesia versus spinal anesthesia in intestinal
stoma reversal..
Material and Methods: It was randomized clinical trial with 64 patients, undergoing reversal of
ileostomies and colostomies. Procedure was performed either under local anesthesia plus
sedation (n=32) or spinal anesthesia (n=32). The duration of the operation, conversion or
supplementation of the anesthetic technique, time spent in the post-anesthesia recovery room,
postoperative complications and length of hospital stay were analyzed.
Results: Duration of operation and time spent in post operative recovery room was less in
patients operated under local anesthesia. Conversion to general anesthesia was only needed in
spinal anesthesia group. Post operative complications were less in local anesthesia group. Mean
length of hospital stay was almost equal in both groups.
Conclusion: Intestinal stoma reversal under local anesthesia and sedation is safe and
more effective than same procedure under spinal anesthesia.