Discussion
postoperative pain, fourth-degree hemorrhoid, pain
The aim of this trial was to assess the occurrence of postoperative pain following open hemorrhoidectomy under local anesthesia versus open hemorrhoidectomy under saddle block for primary uncomplicated 3During our RCT, despite the difference in occurrence of pain assessed with VAS in post OH in the two groups of patients, the AUC has shown no difference in VAS assessment in post OH in both groups. These findings are confirming the null hypothesis of this RCT that no difference between the use of LA versus SB for OH in our area. The above findings are similar to the finding in UK where Kushwaba et al. [However, our result is different to the finding of [With this data reported worldwide, there is no doubt that the use of local anesthesia is effective for open hemorrhoidectomy and that the occurrence of pain cannot hinder the applicability of this technique for patients with third- or fourth-degree hemorrhoid planned for OH as shown in a newly meta-analysis [