scholarly journals Is Saddle block superior to spinal anaesthesia for patients undergoing transurethral resection of prostate- a comparative evaluation

2021 ◽  
Vol 12 (10) ◽  
pp. 105-110
Author(s):  
Kirti Kshetrapal ◽  
Priyanka Mishra ◽  
Hemant Kamal ◽  
Priyanka Bansal
Keyword(s):  
Patient Satisfaction ◽  
Spinal Anaesthesia ◽  
Surgical Intervention ◽  
Perioperative Complications ◽  
Randomized Study ◽  
Transurethral Resection Of Prostate ◽  
Haemodynamic Stability ◽  
Bladder Instillation ◽  
Surgical Conditions ◽  
Surgeon Satisfaction

Background: TURP is the most common surgical intervention for patients with benign prostatic hyperplasia. Aims and Objectives: This prospective randomized study was planned to evaluate spinal anaesthesia (SA) versus saddle block with regard to haemodynamic parameters, ephedrine consumption, patient and surgeon satisfaction, perioperative complications in patients undergoing TURP. Materials and Methods: Eighty patients between the ages of 50-80 years with BPH, belonging to ASA grade I- III, prostatic volume between 50 - 80 cc were included in our study. Patients were randomly divided into two groups of 40 patients each. Patients in group SA (n=40) received spinal anaesthesia and the patients in group SBBI (n=40) were given saddle block with bladder instillation of local anaesthetic jelly for undergoing TURP. Results: There was more statistically significant fall in MAP in Group SA as compared to Group SBBI (p<0.05). Complications like hypotension, bradycardia and vasopressor requirement was less but requirement (p=0.021) of supplemental analgesia was more in patients who were administered saddle block. There was significantly lower patient satisfaction in saddle block (p=0.044) but comparable surgical satisfaction in both groups. Conclusion: Both Spinal anaesthesia and saddle block are safe and effective techniques of anaesthesia for patients undergoing TURP. SA has advantages like less requirement of supplemental analgesia, longer duration of post-operative analgesia and more patient satisfaction. However, saddle block is superior to spinal anaesthesia with regard to haemodynamic stability; with less chances of hypotension, bradycardia and less vasopressor requirement. It is similar to SA in terms of providing adequate surgical conditions.

MP3-01 BPH6 RANDOMIZED STUDY OF PROSTATIC URETHRAL LIFT (PUL) VS TRANSURETHRAL RESECTION OF THE PROSTATE (TURP): OUTCOMES AND PATIENT SATISFACTION

2015 ◽  
Vol 193 (4S) ◽  
Author(s):  
Neil Barber ◽  
Jens Sønsken ◽  
Christian Gratze ◽  
Mark Speakman ◽  
Richard Berges ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Transurethral Resection ◽  
Randomized Study

Topical Anesthesia versus Sub-Tenon Block for Cataract Surgery: Surgical Conditions and Patient Satisfaction

2008 ◽  
Vol 18 (3) ◽  
pp. 356-360 ◽  
Author(s):  
P.A. Rodrigues ◽  
P.J. Vale ◽  
L.M. Cruz ◽  
R.P. Carvalho ◽  
I.M. Ribeiro ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Cataract Surgery ◽  
Topical Anesthesia ◽  
Surgical Conditions

scholarly journals Microsurgical Treatment of Epidermoids. Case Report and Literature Review

2019 ◽  
Vol 4 (2) ◽  
pp. 114-121
Author(s):  
V. A. Byvaltsev ◽  
A. A. Kalinin ◽  
E. G. Belykh ◽  
S. L. Antipina ◽  
D. I. Badaguev
Keyword(s):  
Surgical Treatment ◽  
Literature Review ◽  
Aseptic Meningitis ◽  
Epidermoid Cyst ◽  
Surgical Intervention ◽  
Perioperative Complications ◽  
Medical Knowledge ◽  
Clinical Results ◽  
Russian Science ◽  
Russian Science Citation Index

The aim of the research: study the features of surgical treatment of epidermoids.Materials and methods. We present a literature review and the clinical case of surgical treatment of a patient with epidermoid. We have searched medical databases: Medline, Russian Science Citation Index, EMedicine, United Medical Knowledge Base. We considered the features of the clinic, diagnosis, and surgical intervention. The article presents a clinical example of successful surgical treatment of a patient with an epidermoid cyst of the posterior cranial fossa. The result of the literature review was the writing of a clinical lecture; the current state of the issue of etiopathogenesis, diagnosis and management of patients with epidermoids was studied.Results. The authors found that total microsurgical removal is the method of choice, and the operative technique should be aimed at preventing postoperative aseptic meningitis. Although it was not possible to establish the cause of the development of aseptic meningitis, the authors assume that the mechanism of its formation lies in the self-breaking of the capsule of the epidermoid cyst, probability of which was confirmed by a number of studies. Further study of this pathology is a promising direction in neurosurgery.Conclusion. Difficulties in the diagnosis and choice of surgical tactics point at the need for detailed preoperative planning of surgical intervention, performing a precise total removal of a lesion with compliance with preventive measures for aseptic meningitis to improve clinical results and reduce the incidence of perioperative complications.

Surgical Ascariasis in Children in Kashmir

1997 ◽  
Vol 27 (1) ◽  
pp. 13-14 ◽  
Author(s):  
Satish Kumar Pandit ◽  
Habib Ullah Zarger
Keyword(s):  
Retrospective Study ◽  
Intestinal Obstruction ◽  
Endemic Area ◽  
Surgical Intervention ◽  
Ileal Perforation ◽  
Biliary Ascariasis ◽  
High Incidence ◽  
Surgical Conditions

A retrospective study of 85 children aged 3–12 years revealed 25 cases who needed surgical intervention due to ascariasis. The surgical conditions found at laparotomy were intestinal obstruction (18) appendicitis (3), ileal perforation (2), biliary ascariasis (2). The study highlights the high incidence of surgical ascariasis among children with abdominal complaints in an endemic area.

Technical Feasibility, Outcomes, and Patient Satisfaction After Needlescopic and Laparoscopic Bariatric Surgery: a Randomized Study

2021 ◽  
Vol 31 (11) ◽  
pp. 5085-5091
Author(s):  
Yen-Yi Juo ◽  
Chan Park ◽  
Jin Yoo ◽  
Daniel Guerron ◽  
Ranjan Sudan ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Patient Satisfaction ◽  
Randomized Study ◽  
Laparoscopic Bariatric Surgery ◽  
Technical Feasibility

Patient Satisfaction About Using Patient Controlled Analgesia in Managing Pain Post Surgical Intervention

2013 ◽  
Vol 23 (4) ◽  
pp. 353-368 ◽  
Author(s):  
Hamza F. Ratrout ◽  
Ayman M. Hamdan-Mansour ◽  
Samer S. Seder ◽  
Wisam M. Salim
Keyword(s):  
Patient Satisfaction ◽  
Surgical Intervention ◽  
Patient Controlled Analgesia

scholarly journals Effect of preloading on haemodynamic of the patient undergoing surgery under spinal anaesthesia

1970 ◽  
Vol 8 (2) ◽  
pp. 216-221 ◽  
Author(s):  
J Singh ◽  
S Ranjit ◽  
S Shrestha ◽  
R Sharma ◽  
SB Marahatta
Keyword(s):  
Blood Pressure ◽  
Spinal Anaesthesia ◽  
Operation Theatre ◽  
Group I ◽  
Haemodynamic Changes ◽  
Ringer’S Lactate ◽  
Quasi Experimental ◽  
Surgical Conditions ◽  
Written Informed Consent

Background: Hypotension and bradycardia after conduction of spinal anaesthesia are common side effects because of sympathetic blockade. Efforts to prevent these complications have been attempted like preloading with crystalloids, colloids or use of vasopressors. The role of volume preloading to prevent haemodynamic changes associated with spinal anaesthesia has been recently questioned. Objective: The objective of the study was to investigate the effects of volume preload on changes of patient's hemodynamic. Materials and methods: A Quasi- experimental design was used to conduct the study. Taking written informed consent, 40 patients of age group 18-45 years and ASA grade I and II undergoing surgery under spinal anaesthesia in operation theatre of Dhulikhel Hospital were selected as the sample of the study and allocated randomly to 2 groups. Group I did not receive volume preload and Group II received preload of 1000 ml of Ringer's lactate solution within 30 minutes immediately before giving the spinal anaesthesia. An observational checklist was used to collect demographic, intraoperative and post-operative records of systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP) and heart rate (HR). Results: The findings revealed that the haemodynamic changes occurred in all patients. The decrease in SBP, MBP and DBP from baseline was statistically significant at all points of time (p=0.000). The decrease in HR from baseline was not statistically significant at all points of time (p>0.05). The overall incidence of hypotension was 50%, among which 9 (45%) were from without preload group and 11 (55%) were from with preload group. The incidence of hypotension was similar in groups, sexes and surgical conditions (General Surgery, Gynae/Obs and Orthopaedics). There were no significant differences in haemodynamic changes among groups. Conclusion: On the basis of findings, it is concluded that volume preloading had no effect on the incidence of hypotension and bradycardia after spinal anaesthesia. Key words: Preload; Haemodynamics; Spinal Anaesthesia; Crystalloid DOI: 10.3126/kumj.v8i2.3562 Kathmandu University Medical Journal (2010), Vol. 8, No. 2, Issue 30, 216-221

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