Spinal vs General Anesthesia in patients undergoing urogenital surgery: A Randomized Clinical Trial
Journal of Cellular & Molecular Anesthesia,
Vol. 5 No. 3 (2020),
19 October 2020
,
Page 180-184
https://doi.org/10.22037/jcma.v5i3.29970
Abstract
Background: This study aimed to evaluate the pain in the 24 hours after surgery, quality of life, and the outcome of surgery in patients undergoing urogenital surgery by spinal and general anesthesia. Materials and Methods: Women referring a candidate for urogenital surgery in Vali-e-Asr Hospital entered the study after their informed consent; in one of the two study groups: Spinal Anesthesia (SA) vs. General Anesthesia (GA). The pain scores around the clock were measured using the Visual Analog Scale (VAS) at 2, 6, 12, and 24 hours postoperatively. Also, the two groups were compared regarding patient satisfaction at the time of ambulation. The surgery outcomes were measured using International Consultation on Incontinence Modular Questionnaires ICIQ. Data were entered and analyzed by SPSS software. Results: There was no significant relationship between parity, previous non-cesarean abdominal surgery, and urinary complications. However, there was a statistically significant difference between pain score in the two groups; while the postoperative days were not different in the two groups of anesthesia methods Conclusion: Considering the different influence of treatment methods for this disease, further research is needed to clarify, the results of anatomical, and anatomical outcomes after treatment for pelvic floor disorders in women.- Pain in the first 24 hours after surgery
- Life quality
- Urogenital Surgery
- Spinal Anesthesia
- General Anesthesia
How to Cite
References
References
Choi KH, Hong JY. management of pelvic organ prolapse. Gynecol Care. 2014;55:693–702.
Hefni M, Barry J, Koukoura O, Meredith J, Mossa M, Edmonds S. Long-term quality of life and patient satisfaction following anterior vaginal mesh repair for cystocele. Arch Gynecol Obstet. 2012 Oct 9;287.
Subak L, Waetjen L, Van Den Eeden S, Thom D, Vittinghoff E, Brown J. Cost of Pelvic Organ Prolapse Surgery in the United States. Obstet Gynecol. 2001 Oct 1;98:646–51.
Vitale SG, Caruso S, Rapisarda AMC, Valenti G, Rossetti D, Cianci S, et al. Biocompatible porcine dermis graft to treat severe cystocele: impact on quality of life and sexuality. Arch Gynecol Obstet [Internet]. 2016;293(1):125–31. Available from: https://doi.org/10.1007/s00404-015-3820-0
Vitale SG, Laganà AS, Gulino FA, Tropea A, Tarda S. Prosthetic surgery versus native tissue repair of cystocele: literature review. Updates Surg [Internet]. 2016;68(4):325–9. Available from: https://doi.org/10.1007/s13304-015-0343-y
Erdem VM, Donmez T, Uzman S, Ferahman S, Hatipoglu E, Sunamak O. Spinal/epidural block as an alternative to general anesthesia for laparoscopic appendectomy: A prospective randomized clinical study. Wideochirurgia I Inne Tech Maloinwazyjne. 2018;13(2):148–56.
Sprung J, Sanders MS, Warner ME, Gebhart JB, Stanhope CR, Jankowski CJ, et al. Pain relief and functional status after vaginal hysterectomy: intrathecalversus general anesthesia. Can J Anesth [Internet]. 2006;53(7):690. Available from: https://doi.org/10.1007/BF03021628
Borendal Wodlin N, Nilsson L, Kjølhede P. The impact of mode of anaesthesia on postoperative recovery from fast-track abdominal hysterectomy: A randomised clinical trial. BJOG An Int J Obstet Gynaecol. 2011;118(3):299–308.
Morris MT, Morris J, Wallace C, Cho W, Sharan A, Abouelrigal M, et al. An Analysis of the Cost-Effectiveness of Spinal Versus General Anesthesia for Lumbar Spine Surgery in Various Hospital Settings. Glob Spine J. 2019;9(4):368–74.
Sessler M.D. DI. Long-term Consequences of Anesthetic Management. Anesthesiol J Am Soc Anesthesiol [Internet]. 2009 Jul 1;111(1):1–4. Available from: https://doi.org/10.1097/ALN.0b013e3181a913e1
Hu S, Zhang ZY, Hua YQ, Li J, Cai ZD. A comparison of regional and general anaesthesia for total replacement of the hip or knee: A meta-analysis. J Bone Jt Surg - Ser B. 2009;91(7):935–42.
Macfarlane AJR, Prasad GA, Chan VWS, Brull R. Does regional anaesthesia improve outcome after total hip arthroplasty? A systematic review. Br J Anaesth [Internet]. 2009;103(3):335–45. Available from: http://dx.doi.org/10.1093/bja/aep208
Purwar B, Ismail KM, Turner N, Farrell A, Verzune M, Annappa M, et al. General or Spinal Anaesthetic for Vaginal Surgery in Pelvic Floor Disorders (GOSSIP): a feasibility randomised controlled trial. Int Urogynecol J. 2015;26(8):1171–8.
Safaeian R, Movasaghi GH. Comparison between incidence of postoperative nausea and vomiting after total abdominal hysterectomy in general and epidural anesthesia. Razi J Med Sci. 2001;8(25):308–11.
Segal D, Awad N, Nasir H, Mustafa S, Lowenstein L. Combined spinal and general anesthesia vs general anesthesia for robotic sacrocervicopexy: A randomized controlled trial. Int Urogynecol J Pelvic Floor Dysfunct. 2014;25(3):369–74.
Niazi AA aziz, Taha MA aziz. Postoperative urinary retention after general and spinal anesthesia in orthopedic surgical patients. Egypt J Anaesth [Internet]. 2015;31(1):65–9. Available from: http://www.sciencedirect.com/science/article/pii/S1110184914000968
Duckett RAJ, Grapsas P, Eaton M, Basu M. The effect of spinal anaesthesia on urethral function. Int Urogynecol J Pelvic Floor Dysfunct. 2008 Feb;19(2):257–60.
Massicotte L, Chalaoui KD, Beaulieu D, Roy J-D, Bissonnette F. Comparison of spinal anesthesia with general anesthesia on morphine requirement after abdominal hysterectomy. Acta Anaesthesiol Scand. 2009 May;53(5):641–7.
Wodlin NB, Nilsson L, Årestedt K, Kjölhede P, Group ‘GASPI’Study. Mode of anesthesia and postoperative symptoms following abdominal hysterectomy in a fast‐track setting. Acta Obstet Gynecol Scand. 2011;90(4):369–79.
Naghibi K, Saryazdi H, Kashefi P, Rohani F. The comparison of spinal anesthesia with general anesthesia on the postoperative pain scores and analgesic requirements after elective lower abdominal surgery: A randomized, double-blinded study. J Res Med Sci Off J Isfahan Univ Med Sci. 2013;18(7):543.
Catro-Alves LJS, De Azevedo VLF, Braga TFDF, Goncalves AC, De Oliveira GS. The effect of neuraxial versus general anesthesia techniques on postoperative quality of recovery and analgesia after abdominal hysterectomy: a prospective, randomized, controlled trial. Anesth Analg. 2011;113(6):1480–6.
Shohani M, Rasoli M, Maleki F. Comparasion Study of Pain After Cesarean Section by General and Spinal Anesthesia. 2013;
Zorofchi BH, Jahan. E, Nassiri S, Najmodin A, Saffarieh E. Comparing Spinal and General Anesthesia in terms of Postoperative Pain in Patients undergoing Hysterectomy. ASP Ins [Internet]. 2018;3(2):73–7. Available from: http://jogcr.com/article-1-198-en.pdf
Pu X, Sun JM. General anesthesia vs spinal anesthesia for patients undergoing total-hip arthroplasty: A meta-analysis. Medicine (Baltimore). 2019;98(16):e14925.
Gonano C, Leitgeb U, Sitzwohl C, Ihra G, Weinstabl C, Kettner SC. Spinal versus general anesthesia for orthopedic surgery: anesthesia drug and supply costs. Anesth Analg. 2006 Feb;102(2):524–9.
Koju RB, Dongol Y, Verma R. Effectiveness of spinal anaesthesia versus general anaesthesia for open cholecystectomy. J Nepal Health Res Counc. 2016
- Abstract Viewed: 250 times
- PDF Downloaded: 184 times