الفهرس | Only 14 pages are availabe for public view |
Abstract Postoperative ileus is a common problem after major abdominal surgery and may lead to significant postoperative morbidity, prolonged hospitalization, and increased health care costs. Several mechanisms are thought to play a role in POI, including sympathetic neural reflexes, local and systemic inflammatory mediators, and changes in various neural and hormonal transmitters. Many potential treatment options exist for POI, but data regarding the efficacy of various therapies are generally limited. The objective of this study is to compare the effect of general anesthesia versus spinal analgesia on gastrointestinal motility regain after cesarean section. One hunderd and fourty pregnant women who admitted for cesarean section and fulfilled the criteria of the study population were enlisted in this prospective observational study then assigned to either group A or B. The group A was included 70 patients for general anaesthesia, while group B was included 70 patients for spinal anaesthesia Our study showed beneficial effect of spinal anesthesia versus general anesthesia in term of less use of opioids, less use of nonsteroidal anti-inflammatory drugs, less incidence of distension, less incidence of ileus and VTE. In conclusion, our study showed that spinal anesthesia results in a quicker return of bowel activity after CS (15.7 hours difference) and a quicker return to home as it decrease the length of hospital stay (18.84 hours difference) and with potential impact on reducing the overall healthcare costs in case of routine implementation. |