Differences Between Spinal and General Anesthesia in Gynecological Laparoscopic Surgeries: A Prospective,Single-Blind,Randomized Controlled Trial

Abstract

Objectives:

We aimed to evaluate the feasibility of performing gynecological laparoscopic surgeries under spinal anesthesia (SA) and compare the anesthetic parameters and patient satisfaction between SA and general anesthesia (GA) in gynecological laparoscopic surgeries.

Methods:

This prospective, single-blinded, randomized clinical trial included 80 women indicated for laparoscopic surgery. Participants were randomly assigned to two groups of 40 each, SA and GA, and outcomes were compared between them.

Results:

Respiratory rate and mean arterial blood pressure were generally lower in the GA group than in the SA group (p > 0.05). During surgery, the SA group experienced more complications than the GA group (p < 0.05). There was no significant difference between the two groups in the incidence of hypertension, bradycardia, restlessness, dyspnea, abdominal pain, respiratory depression, and chills during surgery (p > 0.05). Post-Anesthesia Care Unit (PACU) recovery time was significantly longer in the GA group (p = 0.001). The prevalence of chills and restlessness as PACU complications was significantly higher in the GA group than in the SA group (p = 0.001). Surgeons’ satisfaction levels were significantly higher with GA (p < 0.05).

Conclusion:

Although SA and GA showed no significant differences, SA appears more satisfactory for gynecological surgeons performing laparoscopic procedures. However, the best anesthesia choice depends largely on the type of surgery and the patient’s condition.