الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 85 |  |  |
| | | from | 85 | | |
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.