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Comparison Between Spinal Anesthesia Vs General Anesthesia in Patients Undergoing Open Appendectomy for Acute Appendicitis, A Retrospective Study

Medina Gabriel, MSC Angos Veronica, Pazmiño Karen, MD. Gonzales Maria, Angos Gerardo,Gordillo Daniela

Appendectomy is one of the most common emergency surgical procedures, currently attempts are being made to define several strategies that ensure early, effective and safe post-surgical management and recovery, the use of spinal anesthesia may offer benefits. Data were collected from all patients who underwent open surgery for acute appendicitis in the span of one year in our institution, laparoscopic appendectomies or other diagnoses not compatible with acute appendicitis were excluded. A total of 342 patients underwent conventional surgery for appendicitis,111generalanesthesia(GAG)and231spinal(GAR),themeandurationofpaininhourswas39and32 (p=0.120);theanalgesiccombinationwasparacetamol+NSAIDs(65.7%vs15.6%),Tramadol+NSAIDs(28.6%vs 65.8%)andparacetamol+tramadol(5.7%vs18.6%);postoperativepainat8hours(60.3%vs75.3%),at24hours(37.8%vs33.8%;p=0.000);postsurgicalheadacheinhim(19.8%vs16.8%),urinaryretention(2.7%vs1.2%;p= 0.307); start of diet in hours (24 vs 17; p = 0.01) and hospital discharge in days (5.6 vs 3.4; p = 0.005) respectively. According to several authors, spinal anesthesia is safe in intra-abdominal procedures, which was demonstrated in our study, with a good post-surgical result. Spinal anesthesia offers good pain control, and a shorter hospital stay, theadverseeffectswereminorcomparedtogeneralanesthesia.Complicatedpicturesorlargeincisionsshowpoorer pain control regardless of anesthetictechnique.