A Comparison of Epidural Anesthesia without Motor Block Versus General Anesthesia for Percutaneous Nephrolithotomy
Journal Title: JOURNAL OF UROLOGICAL SURGERY - Year 2018, Vol 5, Issue 3
Abstract
Objective: The study carried out to compare the operative parameters and stone clearance in patients who underwent percutaneous nephrolithotomy (PNL) under epidural anesthesia (EA) without motor block versus those who underwent PNL under general anesthesia (GA). Materials and Methods: We retrospectively reviewed 2 groups of patients who underwent PNL at our institute between January 2014 and September 2014. Group 1 consisted of 69 consecutive patients who underwent PNL under EA without motor block and group 2 consisted of 69 consecutive patients who underwent PNL under GA. Patients general characteristics, stone features, surgical parameters, duration of surgery, time spent in the operating room, postoperative analgesic requirements, complications, stone clearance rate and mean length of hospital stay were compared between the 2 groups. Results: The two groups were similar in terms of mean age, gender, stone size and previous surgery. Operative time, access site, mean access number, postoperative fever, drainage, mean hemoglobin drop, stone-free rate, duration of nephrostomy tube and length of hospitalization were also similar between the groups. The time spent in the operating room, blood transfusion rate and postoperative analgesic requirements in EA group were significantly lower than those in GA group. Conclusion: PNL under EA without motor block is as effective and safe as PNL under GA and it offers some advantages as with lower parenteral analgesic requirements, lower transfusion rates and lesser usage of operation room.
Authors and Affiliations
Sedat Öner, Burak Acar, Efe Önen, Metin Kılıç, Mustafa Murat Aydos, Murat Demirbaş, Ali Ekber Yürekli
Keywords
Related Articles
- EP ID EP382545
- DOI 10.4274/jus.1866
- Views 90
- Downloads 0
Ureteroscopy Outcomes, Complications and Management of Perforations in Impacted Ureter Stones
Objective To evaluate ureteroscopy (URS) outcomes and management of perforations in impacted ureteral stones. Materials and Methods We retrospectively evaluated data from 81 patients who had undergone URS for impacted ur...
Publication Rates and Citation Analysis of Oral and Poster Presentations at the First Congress of the Society of Urological Surgery in Turkiye
Objective: Publications of congress presentations (oral/poster) contribute to the literature by creating new information. In this study, we examined the publication rate of poster and oral presentations at the 1st Congre...
Re: Life Quality Change After Inflatable Penile Prosthesis Implantation
.
Re: Collagenase Clostridium Histolyticum for the Treatment of Peyronie’s Disease: A Prospective Italian Multicentric Study
.
Re: Safety of Dual Kidney Transplantation Compared to Single Kidney Transplantation from Expanded Criteria Donors: A Single Center Cohort Study of 39 Recipients
.