Evaluation Of Laparoscopic Appendectomy Under Spinal Anaesthesia
Journal Title: National Journal of Medical and Dental Research - Year 2017, Vol 5, Issue 3
Abstract
Introduction:Laparoscopic appendicectomy is one of the most commonly performed surgeries. Laparoscopic appendicectomies done under general anaesthesia are routinely associated with its own anaesthetic complications. And the advent of regional anaesthesia for laparosopic procedures to reduce complications warranted us to study the feasibility of spinal anaesthesia in laparoscopic appendicectomy in comparison with general anaesthesia. Materials and Methods: This is a retrospective study which included 87 patients with a diagnosis of appendicitis, who underwent laparoscopic appendicectomy under spinal and general anaesthesia. Results: Patients in the spinal anaesthesia group had superior post-operative analgesia; however they had a longer duration of stay in the hospital as compared to the patients in the general anaesthesia group. The incidence of intra operative tachycardia and hypotension was lower in the spinal anaesthesia group. The patients in the general anaesthesia group had higher incidence of post-operative wound infection and fever. Conclusion: The observations from the study proved that laparoscopic appendicectomy is feasible under spinal anaesthesia, provides superior analgesia (mean 1.31). The profiles of complications that may arise due to the same are not severe and can be managed easily. However further studies with a larger sample may be warranted in order to prove the results conclusively.
Authors and Affiliations
T Prabhakar, S N Shirbur, Sudarsan Sudarsan
Keywords
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