Effect of General Anesthesia versus Spinal Anesthesia in Cesarean Section on Regain of Gastrointestinal Motility

Bayoumi, Moustafa Mohamed Mahmoud

doi:10.12816/0039670

Cited by 3 publications

(3 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The extent of the change in motility is proportional to the length of anesthesia. Contrasts to our findings, Bayoumi et al [9], found no correlation between duration of surgery in both spinal and general anesthesia groups and regain of gastrointestinal motility this because narrow range of difference in the duration between the operations (40-60minute). This agreed with the result of Graber et al [16], found that the length of operation had little or no effect on the duration of colonic stasis.…”

Section: Resultscontrasting

confidence: 99%

The effect of General Anesthesia Versus Spinal Anesthesia in Restoration of Gastrointestinal Motility after Cesarean Section

Wally

Khayat²,

Elgebaly³

et al. 2022

JAMMR

View full text Add to dashboard Cite

Background: Cesarean section is the delivery of a foetus through an open abdominal incision (laparotomy) and a uterine incision (hysterotomy). One of the most common postoperative complications is a dynamic paralysis (ileus) that must be minimized due to its serious consequences including delayed enteral feeding resulting in patient discomfort, prolonged hospitalization and increased health care costs. The pathophysiology of postoperative ileus is multifactorial. The aim of this study is to compare the effect of general versus spinal anesthesia in regain of the intestinal motility after elective cesarean section. Methods: This randomized clinical study was conducted on 150 pregnant women aged from18 to 35 years, who were set for elective caesarean section under either general or spinal anesthesia, attending to the Obstetrics and Gynecology department from August 2020 to October 2021. The participants were subdivided into 2 equal groups, group I included women delivered by using general anesthesia and group II included women delivered by using spinal anesthesia. Results: Shows 1st intestinal, 1st passage flatus, 1st passage motion and hospital stay were significantly increased among general group than the spinal group (P = 0.001*). Conclusions: Spinal anesthesia results in a quicker return of bowel activity after cesarean section than general anesthesia with difference and spinal anesthesia results in a quicker return to home as it decreases the length of hospital stay with significant difference between both groups.

show abstract

Section: Resultscontrasting

confidence: 99%

The effect of General Anesthesia Versus Spinal Anesthesia in Restoration of Gastrointestinal Motility after Cesarean Section

Wally

Khayat²,

Elgebaly³

et al. 2022

JAMMR

View full text Add to dashboard Cite

show abstract

“…Regarding the postoperative phase, the importance of early postoperative mobilization has already been highlighted by Jovanovich et al [29] and it has also a crucial relevance for childbearing age women to prevent post-surgical adhesion formation, which can be dangerous for future pregnancies [30]. In line with previous studies, patients who underwent RA in our center showed a significant improvement in early postoperative mobilization, early resumption of bowel motility, and early discharge [5, 16, 21, 31]. Another important aspect is the PONV, a discussed topic in literature.…”

Section: Discussionsupporting

confidence: 75%

Findings from the Use of Spinal Anesthesia in the Laparoscopic Treatment of Extrauterine Pregnancy: Could It Represent an Alternative to General Anesthesia?

Della Corte,

Guarino,

Dell'Aquila

et al. 2023

Gynecol Obstet Invest

View full text Add to dashboard Cite

Introduction: Minimally invasive procedures performed in laparoscopy, such as salpingectomy for ectopic pregnancy, can be combined with a minimally invasive anesthesia. The aim of this study was to assess the feasibility and the intraoperative and postoperative outcomes of laparoscopic surgery for ectopic pregnancy under spinal anesthesia (SA) compared to general anesthesia (GA) from the point of view of the surgeon, anesthesiologist and patient. Methods: A retrospective cohort study was performed at DAI Materno Infantile of AOU Federico II of Naples, analyzing all medical records of women who met the inclusion criteria between April 2020 and April 2023. Eighty-two women (35 under SA in Group A and 47 under GA in Group B) undergone elective or emergency laparoscopic salpingectomy for ectopic tubal or ovarian pregnancy were included. Results: Patients in Group A reported less pain at 0 h (adjusted mean difference: -1.5; 95% CI: -2.3 to -0.7; p<0.001) and after 6 h (adjusted mean difference: -1.1; 95% CI: -2.0 to - 0.3; p=0.01) while no statistically significant differences between the two groups at 12 and 24 h after surgery. No differences were observed among the type of analgesic and during the post-operative observation time, except for paracetamol at 0 h in Group B. A faster resumption of bowel motility, patient’s mobilization and a shorter hospital stay were observed in Group A compared to Group B. Also greater odds of returning faster to daily activities emerged in group A (adjusted OR: 5.39; 95% CI: 1.77 to 16.37). A greater number of patients in Group A were satisfied with the entire procedure compared to those of Group B (33 (94.3%) vs 37 (78.7%). The general surgeon satisfaction was always very good or excellent in Group A. Finally, all surgical steps were well tolerated in Group A. Conclusion: In specific settings, SA is a feasible and safe procedure for the laparoscopic treatment of ectopic pregnancy.

show abstract

“…Anastesi regional terbukti mampu meningkatkan pemulihan aktivitas usus lebih baik dibandingkan anastesi general, dan menurunkan lama rawat inap pasien post pembedahan. Hal ini disebabkan berkurangnya penggunaan opioid post pembedahan dengan anastesi regional (Bayoumi, 2017). Walaupun terbukti lebih aman bagi pasien, hipomotilitas usus masih mampu terjadi pada pasien yang menjalani anestesi regional, jika pembedahan dilakukan pada abdomen dan terjadi manipulasi pada usus.…”

Section: Pembahasan 1 Pengaruh Mobilisasi Dini Terhadap Pemulihan Peunclassified

Mobilisasi Dini Terhadap Pemulihan Peristaltik Usus Dan Skala Nyeri Pasien Post Pembedahan

Arianti

Mayna

Hidayat

2020

JHNS

View full text Add to dashboard Cite

Postoperative complications such as pain, malnutrition, delayed wound healing and ileus were frequently found and become a challenge for health workers. Early mobilization is recognized as an approach that may help in preventing as well as decreasing the further effect of those complications. However, the implementation of early mobilization in hospitals were still limited to verbal commands without providing direct assistance to postoperative patients. Therefore, this study tries to give evidence-based nursing in PKU Muhammadiyah Gamping Hospital in improving nursing care to postoperative patient outcomes by giving early mobilization. The purpose of this study was to find the effect of early mobilization on the recovery time of intestinal peristalsis and pain scale in post-operative patients. This research was pre-experimental research using a static group comparison research design with a cross-sectional approach. The sampling technique used purposive sampling with specific criteria who was in adult age and received regional anesthesia. This study found 40 subjects consisting of 20 subjects in the intervention group and 20 subjects in the control group. The Mann-Whitney statistical test proved a significant effect on early mobilization on intestinal peristalsis recovery (p = 0.000) Gand pain scale (p = 0.001).

show abstract

Effect of General Anesthesia versus Spinal Anesthesia in Cesarean Section on Regain of Gastrointestinal Motility

Cited by 3 publications

References 7 publications

The effect of General Anesthesia Versus Spinal Anesthesia in Restoration of Gastrointestinal Motility after Cesarean Section

The effect of General Anesthesia Versus Spinal Anesthesia in Restoration of Gastrointestinal Motility after Cesarean Section

Findings from the Use of Spinal Anesthesia in the Laparoscopic Treatment of Extrauterine Pregnancy: Could It Represent an Alternative to General Anesthesia?

Mobilisasi Dini Terhadap Pemulihan Peristaltik Usus Dan Skala Nyeri Pasien Post Pembedahan

Contact Info

Product

Resources

About