OC-108 THE EFFECT OF COMBINED SPINAL EPIDURAL ANESTHESIA ON SHOULDER PAIN IN LAPAROSCOPIC EXTRAPERITONEAL HERNIA SURGERY

Abstract

Abstract Background Shoulder pain is a condition that seriously discomforts patients which develops due to peritoneal tear in laparoscopic extra peritoneal hernia repair (TEP) surgeries. Although surgeons generally prefer general anesthesia for the TEP technique, many studies have been carried out for the use of regional anesthesia in recent years. In our study, we aimed to investigate the efficacy and safety of the combined spinal/epidural anesthesia (CSEA) method in order to prevent shoulder pain in the TEP technique. Method The patients which operated with TEP procedure were divided into two groups; SA (Group 1) and CSEA (Group 2). The two patient groups were compared in terms of sex, age, body mass index, duration of surgery, total operation time, patient satisfaction, pain scores, length of hospital stay, adverse effect, intra operative and postoperative complications. Results The number of patients in group 1 was 42 and the group 2 was 40. The mean operation time was recorded as 55.9 and 80.2 minutes in groups 1 and 2 respectively, which was statistically significantly shorter in group 1 (p<0.001). Postoperative pain was significantly less in group 2 for the 4th hour (p<0.0001) and the 12th hour (p: 0.047). There was no difference between the two groups in terms of peritoneal tear (p:0.860). Intra operative and postoperative shoulder pain was significantly less in group 2 (p: 0.038, p:0015 respectively). Conclusion CSEA is an effective and safe anesthesia method in preventing shoulder pain that develops after TEP surgeries.