Benefits of Segmental Spinal Anaesthesia in Patients Undergoing Laproscopic Cholecystectomy: A Retrospective Study

Abstract

Background: Segmental Spinal anaesthesia (SA) is reported to be having excellent results in terms of post-operative pain, analgesia requirement, relatively less complications and reduced hospital stay. General anaesthesia (GA) is the anaesthetic technique of choice for laparoscopic cholecystectomy (LC). The main reasons for selecting spinal anaesthesia (SA) as the first choice for laparoscopic cases were its advantages like total muscle relaxation, a conscious patient, economical, relatively uneventful recovery after, pain free early postoperative period and the protection from potential complications of general anaesthesia. Materials and Methods: It is a retrospective study conducted between October 2020 and September 2022. 160 Patients in study group undergoing laparoscopic abdominal procedures were operated under Spinal Anesthesia. In study group 45 patients had acute cholecystitis and 115 underwent elective cholecystectomy were included. 100 Patients who were operated under General anesthesia were kept as control. Results: Out of 160 patients, 105 patients were females, average age was 43.8 years and 55 male patients with average age was 39.2 years laparoscopic cholecystectomy was performed in all patients. Out of 160 patients 45(28.12%) of had acute cholecystitis. 32 (20%) patients HAD hypotension, 35 (21.88%) observed anxiety, neck or shoulder pain, and 1 (0.62%) patient required conversion because of anxiety, despite sedation where as one patient required conversion to general anaesthesia due to failure of SA effect. Conclusions: Laparoscopic surgery done with the patient under spinal anaesthesia has several advantages general anaesthesia. Laparoscopic cholecystectomy using spinal anaesthesia is a better alternative as there is no intubation related airway obstruction. There was excellent muscle relaxation; decreased surgical bed oozing, economical, pain free early post-operative period. A little risk of unrecognised hypoglycaemia was observed in a ..........