Abstract
Objective: To determine the effect and advantages of no indwelling catheter during perioperative period of microvascular decompression for trigeminal neuralgia under the concept of rapid recovery. Methods: 30 patients underwent microvascular decompression for trigeminal neuralgia at our hospital during February 2017 and December 2019 were collected and divided into experimental group and control group by whether patients adopted urinary catheter or not at the concept of rapid recovery. The data of gender, age, operation time, intraoperative blood loss, urine tract infection, incidence of urinary retention, urinary comfort and average postoperative hospital stay were collected and compared. Results: No significant difference in gender, age, operation time, intraoperative blood loss (P > 0.05) between those two groups. The intraoperative fluid infusion and urine output in the control group were significantly higher than those in the experimental group. There was no significant difference in urine tract infection and urinary retention in these two groups (P > 0.05), comfort level (P 0.05). Conclusions: Microvascular decompression for trigeminal neuralgia without urinary catheter during perioperative period under the concept of rapid recovery is feasible and safe, will not increase risk of urinary retention, improve postoperative comfort and shorten average postoperative hospital stay.
Highlights
Trigeminal neuragia (TN) refers to an acute and electrical shock-like pain in area of the trigeminal nerve
There is no unified standard for the retention and removal time of urinary catheter in the concept of Enhanced recovery after surgery (ERAS), but early removal or no urinary catheter is the main trend of ERAS [3]
The perioperative management was based on the concept of rapid recovery: conscious sedation and scalp nerve block anesthesia for trigeminal neuralgia micro vascular decompression, preoperative evaluation and education, treatment process and surgerial plan were explained to the patients, so that the patients knew their important role played in this plan
Summary
Trigeminal neuragia (TN) refers to an acute and electrical shock-like pain in area of the trigeminal nerve. Microvascular decompression (MVD) is a non-destructive surgical plan caused by TN, and can relieve pain by separating the responsible vessels which pressed the trigeminal nerve root. It is effective and safe with low recurrence rate, and has been recognized as the preferred treatment [1, 2] for primary trigeminal neuralgia. There is no unified standard for the retention and removal time of urinary catheter in the concept of Enhanced recovery after surgery (ERAS), but early removal or no urinary catheter is the main trend of ERAS [3]. To further discuss the clinical advantages of no urinary catheter in patients undergoing microvascular decompression for trigeminal neuralgia, and to provide reference for the establishment of rapid recovery procedure, in this study, the clinical data of 30 patients with and without urinary catheter
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