Omer Günal1, Yüksel Arikan, Nurhan Celikel. 1. Department of General Surgery, Düzce School of Medicine, Abant Izzet Baysal University, Konuralp, 14400, Düzce, Turkey.
Abstract
PURPOSE: The current study was done to compare the effect of spinal and epidural anesthesia on surgical outcome measures of inguinal herniorrhaphy. METHODS:Ninety-eight male patients undergoing inguinal hernia repair were randomized to either spinal (SA; n = 39) or epidural (EA; n = 59) anesthesia groups anesthetized with either glycosylated bupivacaine (20 mg) or 0.5 % bupivacaine (100 mg). Anesthesia onset time (AOT), postoperative stand-up time (SUT), first pain sensation time (FPT), operation time (OT), analgesic requirement (AR), hospital stay (HS), visual analogue scores of pain (VAS), per- and postoperative complications, and postanesthesia complications were recorded and compared with each other. RESULTS:FPT was 6.6 +/- 0.6 h and 3.1 +/- 0.4 h and OT was 40 +/- 2 min and 33.1 +/- 1 min in the EA and SA groups, respectively (p < 0.05). SUT was also longer in EA group. VAS scores at 12 and 24 h were significantly higher in the EA group (28 +/- 4 mm and 24 +/- 5 mm in EA and 16 +/- 4 and 5 +/- 1 mm in SA; P < 0.05). No statistically significant difference was found between the SA and EA groups with respect to the other outcome measures that were considered. CONCLUSION:Spinal and epidural anesthesia show some differences from each other with respect to outcome measures such as OT, SUT, FPT, and 12- and 24-h VAS scores.
RCT Entities:
PURPOSE: The current study was done to compare the effect of spinal and epidural anesthesia on surgical outcome measures of inguinal herniorrhaphy. METHODS: Ninety-eight male patients undergoing inguinal hernia repair were randomized to either spinal (SA; n = 39) or epidural (EA; n = 59) anesthesia groups anesthetized with either glycosylated bupivacaine (20 mg) or 0.5 % bupivacaine (100 mg). Anesthesia onset time (AOT), postoperative stand-up time (SUT), first pain sensation time (FPT), operation time (OT), analgesic requirement (AR), hospital stay (HS), visual analogue scores of pain (VAS), per- and postoperative complications, and postanesthesia complications were recorded and compared with each other. RESULTS:FPT was 6.6 +/- 0.6 h and 3.1 +/- 0.4 h and OT was 40 +/- 2 min and 33.1 +/- 1 min in the EA and SA groups, respectively (p < 0.05). SUT was also longer in EA group. VAS scores at 12 and 24 h were significantly higher in the EA group (28 +/- 4 mm and 24 +/- 5 mm in EA and 16 +/- 4 and 5 +/- 1 mm in SA; P < 0.05). No statistically significant difference was found between the SA and EA groups with respect to the other outcome measures that were considered. CONCLUSION: Spinal and epidural anesthesia show some differences from each other with respect to outcome measures such as OT, SUT, FPT, and 12- and 24-h VAS scores.