Original scientific paper

Comparison of general and spinal anaesthesia in patients undergoing open ventral hernia repair

RENATA KROBOT ; General Hospital Varaždin, Department of Anesthesiology and Intensive Care, Ivana Meštrovića 2, 42000 Varaždin, Croatia
JADRANKA PREMUŽIĆ ; General Hospital Varaždin, Department of Anesthesiology and Intensive Care, Ivana Meštrovića 2, 42000 Varaždin, Croatia

Abstract

Background and Purpose: Ventral hernioplasty is common intervention that can be performed under general or regional anaesthesia. We compared TIVA and spinal anaesthesia in patients undergoing elective open ventral hernia repair.

Materials and Methods: Forty ASA I–II adults received either TIVA
with propofol, midazolam, fentanyl and rocuronium (group GA, n=20) or spinal anaesthesia (L3–L4) with hyperbaric bupivacaine 0.5% 10mg+ sufentanil 10 mg (group SPA, n=20).Hemodynamic data, pain scores, time to first analgesic and side-effects were recorded.

Results: Ventral hernia was umbilical in 6, supraumbilical in 6 and
infraumbilicall in 8 group GA and in 7, 6 nad 7 group SPA patients, respectively, P>0.05. Maximum decrease of systolic arterial pressure (SAP) was 10±6 inGA and 21±6% in SPA group, P<0.05 and ofHR11±5 and 17±7%, P>0.05, respectively. Pain scores at 0, 2, 4 and 8 h after surgery were 4 (2–6), 5 (2–7), 5 (1–6) and 4 (2–6) in GA and 0, 0, 0 (0–2) and 1 (0–3) in SPA group, respectively, P<0.05. Pain scores at 12 and 24 h were 4 (1–5) and 3 (0–4) in GA and 2 (0–4) and 1 (0–3) in SPA group, respectively, P>0.05. Time to first analgesic was 28±10 inGA and 580±138 min in SPA group, P<0.001. Postoperative nausea and vomiting (PONV) had 7 (35%) group GA and 1 (5%) group SPA patients, P<0.05.

Conclusions: General anaesthesia resulted in more stable hemodynamic profile but spinal anaesthesia provided better postoperative pain control and less PONV in patients undergoing open ventral hernia repair.

Keywords

Hrčak ID:

105984

URI

https://hrcak.srce.hr/105984

Publication date:

1.6.2013.

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