The Treatment for Anal Fissure under Caudal Anesthesia at Outpatient Clinic

The purpose of this paper was to analyze the benefits of caudal anesthesia for anal operations and of anal stretch for the anal fissure at our outpatient clinic. Three thousand seven cases with anal diseases underwent surgery last year. One third of them underwent surgical treatment under caudal anesthesia at our outpatient clinic. Enough analgesia for anal operations under caudal anesthesia was obtained, and the surgical procedures were performed safely. Four hundred thirty-five patients suffering from anal fissure were treated at our clinic last year. Of the 435 patients with anal fissure, 428 underwent anal stretch at our outpatient clinic. Only 7 patients were hospitalized for several days.These data suggested that most cases with anal fissure can be completely treated by anal stretch at an outpatient clinic, and caudal anesthesia is a useful and safe technique for anal treatment at an outpatient clinic.