Comparison of General Anesthesia With Spinal Anesthesia on the Quality of Recovery of Patients With Selective Abdominal Hysterectomy in Patients Vising the Largest Women’s Disease Hospital in Northwestern Iran

Abstract

Objectives: The quality of recovery can affect the results of abdominal hysterectomy although this effect is unknown in different methods of anesthesia. Therefore, the present study was conducted to compare general anesthesia (GA) and spinal anesthesia (SA) methods on the quality of the recovery of patients with selective abdominal hysterectomy in patients visiting the largest women’s disease hospital in Northwestern Iran. Materials and Methods: This cross-sectional descriptive study was conducted with the participation of 350 patients with abdominal hysterectomy, who were selected by convenience sampling in Al-Zahra hospital, Tabriz, Iran in 2019. Demographic data, visual pain scale, hemodynamic status, and Aldrete-Kroulik index were recorded for each patient. Data were analyzed using Mann-Whitney, t-test, multivariate regression, and Kolmogorov-Simonov tests in SPSS 20, and P<0.05 was considered statistically significant. Results: In the hemodynamic status, it was found that the SA group was more stable than the GA group but this difference was not significant (P>0.05). Regarding the need for pethidine, the results revealed that the mean (± standard deviation) of the GA group was significantly higher (35.14 ± 10.14) than that of the SA group (20.15 ± 05.25, P=0.039) while there were no significant differences between the two groups in the use of the antiemetic drug (P=0.203). Finally, the evaluations of the quality of recovery showed that the mean±) SD) of the quality of recovery in SA patients was significantly higher compared to GA patients (P=0.015). Conclusions: In general, the quality of recovery was higher in the SA compared to the GA regarding abdominal hysterectomy.

Comparison of the effects of spinal anesthesia, paracervical block and general anesthesia on pain, nausea and vomiting, and analgesic requirements in diagnostic hysteroscopy: A non-randomized clinical trial

“…In this regard, the results of similar studies reported no significant differences between the SPA and GA groups in terms of nausea There was no significant difference between the two groups in terms of recovery time, nausea and vomiting which confirms the results of the present study. On the other hand, some previous studies were not in accordance with the results of this study, and showed that the frequency of nausea/vomiting was greater in the GA group compared to the SPA group (18,41). Most of the drugs used in GA can cause nausea and vomiting, but this difference can be due to the use of propofol in induction of anesthesia in the present study.…”

“…Most of the drugs used in GA can cause nausea and vomiting, but this difference can be due to the use of propofol in induction of anesthesia in the present study. Nausea and vomiting in surgeries (e.g., hysterectomy) can put pressure on the intestine and the lower gastrointestinal tract, which can have adverse effects on the results of hysterectomy (41). Therefore, the type of anesthesia method should be considered by anesthesiologists to minimize nausea and vomiting.…”

Cord Herniation through the Site of Undiagnosed Thoracic Dermoid Tumour during Spinal Anaesthesia; Report of a Case and Describing Ways to Avoid

“…Spinal anaesthesia (SA), so called spinal block, is one of the most prevalent types of anaesthetic procedures, sometimes being superior to the general anaesthesia (Yüksek et al, 2020). In several comparable studies, SA had some superiority to the general anaesthesia (GA) in safety and in possible procedure-related complications (Visser et al, 2009;Mortazavi et al, 2022). Because of prevalent usage of this technique, knowing possible complications and pitfalls are crucial.…”