Laparoscopic Abdominal Surgery Under Regional Anesthesia: A Retrospective Evaluation

Uzman, Sinan; Dönmez, Turgut

doi:10.4274/haseki.58076

Cited by 4 publications

(4 citation statements)

References 28 publications

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“…In the literature, shoulder pain requiring additional analgesia has been reported between 10% and 55%. [1,5,6,16] Consistently with the literature, in our study 12 (35.3) patients developed shoulder pain, with 7 (20.6%) of them required analgesics.…”

Section: Discussionsupporting

confidence: 91%

“…Epidural anesthesia enables performing the surgery without disrupting mucociliary activity, and moreover it reduce respiratory difficulty because of the decreased postoperative pain. [5,6,15] In our study, analgesic was needed in 13 (38.2%) patients at the 6 th hour, 3 (8.8%) patients had a VAS score requiring analgesics. None of our patients required analgesics at the 24 th hour.…”

Section: Discussionmentioning

confidence: 45%

“…With epidural anesthesia, both mucociliary activity is protected and lower post-op pain positively affect respiratory functions. [4][5][6] In this study, we retrospectively reviewed our results of laparoscopic cholecystectomy that we performed under epidural anesthesia in ASA III-IV patients with restricted respiratory functions due to COPD.…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic cholecystectomy with thoracic epidural anesthesia and low pressure pneumoperitoneum in patients with chronic obstructive pulmonary disease: A retrospective study

Aydın¹

2019

Laparosc Endosc Surg Sci

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Introduction: General anesthesia-related side effects are more common in the presence of chronic obstructive pulmonary disease (COPD). Regional anesthesia techniques should be considered in these patients to reduce the risks. In this study, we aimed to retrospectively review our experience of laparoscopic cholecystectomy with thoracic epidural anesthesia, which we carried out in the COPD group. Materials and Methods: A total of 34 patients who underwent laparoscopic cholecystectomy operation under thoracic epidural anesthesia in our general surgery clinic between 2014 and 2018 were enrolled in this study. All patients had COPD with American Society of Anesthesiologist (ASA) III-IV. Results: All patients were successfully operated with low CO 2 pneumoperitoneum (10 mmHg) under thoracic epidural anesthesia. Of all patients, 21 (61.8%) of them were male, and 13 (38.2%) of them were female with a mean age of 64 years (range: 52-76). Thirty-one (91.2%) of the patients had ASA III and 3 (8.8%) of them had ASA IV status. Analgesic was needed in 13 (38.2%) patients at the 6 th hour and three (8.8%) patients at the 12 th hour, while no analgesic was needed in any patients at the 24 th hour. The most common complaint in the perioperative period was right shoulder pain by 35.2% (n=12). In addition, nausea occurred in 29.4% (n=10) of the patients; abdominal discomfort, or pain was noted in nine (26.5%) patients. In the per-op period, three (8.8%) patients developed hypotension and two patients (5.9%) bradycardia. In the post-op period, any complain was not observed in 14 (41.2%) patients, while 11 (32.5%) patients had nausea/vomiting, shoulder pain in four (11.8%), and abdominal discomfort was seen in four (11.8%). When pre-and post-op respiratory function tests were compared, no adverse effect was seen due to thoracic epidural anesthesia. Conclusion: COPD patients who are at a high risk of general anesthesia can be operated under regional anesthesia without experiencing respiratory system complications and with less post-op pain.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 45%

Section: Introductionmentioning

confidence: 99%

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Laparoscopic cholecystectomy with thoracic epidural anesthesia and low pressure pneumoperitoneum in patients with chronic obstructive pulmonary disease: A retrospective study

Aydın¹

2019

Laparosc Endosc Surg Sci

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“…Most of these studies declared that spinal anesthesia is associated excellent clinical results with fewer recurrence time and complications compared to general anesthesia. [ 16 17 ] Sürek et al . also suggested that TEP surgical technique using spinal anesthesia should be considered as an effective method in patients and patients with risks of complications during general anesthesia should undergo spinal anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Evaluation and Comparison on the Results of Totally Extraperitoneal Laparoscopic Surgery under General and Spinal Anesthesia for Inguinal Hernia

Alinezhad

Sayadishahraki

Safaee

2022

Advanced Biomedical Research

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Background: Totally extraperitoneal (TEP) hernia repair surgery is one of the recently considered hernioplasty methods. Here, in the current study, we aimed to compare the results of TEP hernia repair surgery in the two groups of general anesthesia and spinal anesthesia. Materials and Methods: This is a randomized clinical trial that was performed in 2018–2019 in Isfahan on 106 patients undergoing TEP inguinal hernia repair. Patients were randomly divided into two groups. The first group underwent TEP inguinal hernia repair surgery under general anesthesia and the second group of patients underwent TEP inguinal hernia repair surgery under spinal anesthesia. Data regarding surgery duration, intensive care unit admission, pain of patients, mean of analgesic injections after the surgery, and complications such as urine retention, seroma, and hematoma, and wound infection were collected. Data were compared between two groups. Results: We found significantly higher duration of surgery in the spinal anesthesia group ( P = 0.02). Patients in the spinal anesthesia group had shorter duration of nutrition regime beginning ( P = 0.002) and lower frequencies of urine retention ( P = 0.001). Further analysis showed that the mean pain severity was significantly lower in spinal anesthesia group compared to general anesthesia during postoperation measurements ( P = 0.001) and patients in spinal anesthesia group received less postoperation analgesics compared to the other group ( P = 0.001). Conclusion: TEP surgery under spinal anesthesia was associated with better clinical results such as lower postoperative pain and analgesics injections compared to general anesthesia.

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2017

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Laparoscopic Abdominal Surgery Under Regional Anesthesia: A Retrospective Evaluation

Cited by 4 publications

References 28 publications

Laparoscopic cholecystectomy with thoracic epidural anesthesia and low pressure pneumoperitoneum in patients with chronic obstructive pulmonary disease: A retrospective study

Laparoscopic cholecystectomy with thoracic epidural anesthesia and low pressure pneumoperitoneum in patients with chronic obstructive pulmonary disease: A retrospective study

Evaluation and Comparison on the Results of Totally Extraperitoneal Laparoscopic Surgery under General and Spinal Anesthesia for Inguinal Hernia

Bupivacaine/fentanyl

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