Comparison of laparoscopic gynecological surgeries with spinal anesthesia and general anesthesia. Other complications of anesthesia
Conditions
Interventions
Intervention 1: Control group: 40 patients will be placed under general anesthesia with induction and maintenance of anesthesia with intravenous drug propofol 1% Dongkook pharmaco made in Korea and en
Sponsors
Tabriz University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: Female with ASA class I _ II physical condition Candidate for gynecological laparoscopic surgery in the age range of 18-60 years in Alzahra Hospital, Tabriz Laparoscopic uterine adnexal surgeries include cystectomy, salpingectomy, oophorectomy, and ectopic pregnancy, all of which are almost identical in terms of surgery time and difficulty. Patient consent to study
Exclusion criteria
Exclusion criteria: Hemoglobin less than 10 Unusual bleeding during surgery and the need for transfusions of blood and blood products Need to convert surgery to laparotomy Existence of any contraindications to spinal anesthesia Sensitivity to local spinal anesthetics Obesity history of multiple surgeries more than twice, history of previous myomectomy,History of previous intra-abdominal adhesions Accompanying systemic diseases such as any history of cardiovascular, pulmonary, hepatic, renal, etc. Grade three and four gynecological surgeries include hysterectomy, resection of tubo-ovarian abscesses, advanced endometriosis, myomectomy, abdominal cerclage, resection of the lateral horn of the uterus, and any disease with intra-abdominal adhesions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ability to perform surgery according to the severity of pain during surgery. Timepoint: Operation time. Method of measurement: Visual analog scoring (all the time during operation, whenever the pain is more than 4 based on the analog visual score, a sedative and analgesic drug is prescribed and general anesthesia is induced if the surgery is not tolerated.). | — |
Secondary
| Measure | Time frame |
|---|---|
| Severe postoperative nausea and vomiting. Timepoint: Every 5 minutes in recovery until discharge from recovery and transfer to ward). Method of measurement: How to measure the variable based on scoring (0 = no nausea and vomiting, 1 = nausea, 2 = vomiting and 3 = vomiting more than 2 times.;Severe postoperative pain. Timepoint: Recovery at 3, 6, 12, 18 and 24 hours after surgery. Method of measurement: verbal rating scale four numbers.;Peripheral O2 saturation. Timepoint: Measurement intervals from the beginning of anesthesia every 5 minutes and in recovery until discharge every 10 minutes. Method of measurement: Pulse oximeter device.;Heart beat. Timepoint: Measurement intervals from the beginning of anesthesia every 5 minutes and in recovery until discharge every 10 minutes. Method of measurement: Counting the heart beats per minutes.;Mean arterial pressure. Timepoint: Measurement intervals from the beginning of anesthesia every 5 minutes and in recovery until discharge every 10 minutes. Method of measurement: Mercury barometer. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDoctor fateme tabatabaei
Tabriz University of Medical Sciences
Outcome results
None listed