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International Journal of Tropical Medicine

ISSN: Online 1818-779X
ISSN: Print 1816-3319
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A Comparative Clinical Study of Anaesthetic Techniques for Lower Abdominal Laparoscopy: General versus Spinal Anaesthesia

Prashanthi Billa, Jhoshna Deverakonda, Rama Krishna Ravula and P. Raghunath
Page: 71-74 | Received 20 Nov 2023, Published online: 23 Dec 2023

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https://doi.org/10.36478/10.59218/makijtm.2023.4.71.74

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Abstract

Lower abdominal laparoscopic surgeries require effective anesthesia for optimal patient outcomes. This study compares the efficacy, safety and patient satisfaction between General Anesthesia (GA) and Spinal Anesthesia (SA). This prospective study included 90 patients undergoing elective lower abdominal laparoscopic surgery, randomly assigned to either GA (n = 45) or SA (n = 45). We evaluated intraoperative stability, postoperative recovery, analgesic requirements and patient satisfaction. Data were analyzed using appropriate statistical tests. The SA group demonstrated better intraoperative hemodynamic stability with less variation in mean arterial pressure and heart rate. Postoperatively, SA patients experienced lower pain scores, longer time to first analgesic request and lower incidence of postoperative nausea and vomiting (PONV). Additionally, the SA group had shorter hospital stays and higher patient satisfaction scores. No significant differences were observed in surgery and anesthesia duration between the groups. Spinal anesthesia may offer advantages over general anesthesia in lower abdominal laparoscopic surgeries, particularly in terms of hemodynamic stability, postoperative pain management, and patient satisfaction. These findings can guide anesthesiologists in selecting the most appropriate anesthetic technique for such procedures.

How to cite this article:

Prashanthi Billa, Jhoshna Deverakonda, Rama Krishna Ravula and P. Raghunath. A Comparative Clinical Study of Anaesthetic Techniques for Lower Abdominal Laparoscopy: General versus Spinal Anaesthesia.
DOI: https://doi.org/10.36478/10.59218/makijtm.2023.4.71.74
URL: https://www.makhillpublications.co/view-article/1816-3319/10.59218/makijtm.2023.4.71.74