Background
hemorrhoid, pain
HEMORRHOID, COMPLICATION
Open hemorrhoidectomy (OH) (Milligan and Morgan technique) has remained the standard of hemorrhoid surgery worldwide [The major problem in performing hemorrhoidectomy under LA is the pain that occurs during injection of the local anesthetic through the sensitive anoderm [The costs of anesthetic procedures have become an important factor in the selection of the most appropriate technique for anal surgeries [The choice of anesthetic technique depends on its lower complication rates, cost effectiveness, and not impinging on active productivity in terms of patient turnover, hence the need to compare the two techniques against these factors. Numerous financial costs can be avoided by day care surgery; for instance, reduction of admission costs, limited use of ward-based facilities plus decreased medication costs [