FATİH SUSLU, MEHMET ALİ TURGUT, ENES CELİK, ILKSEN DONMEZ, FİKRET SALİK
Journal of Clinical Trials and Experimental Investigations - 2024;3(2):22-30
Objective: Urinary system Stone disease (urolithiasis) is a disease that changes and is increasingly prevalent depending on many factors, and nowadays, monitoring, medical removal therapy, shock wave lithotripsy (SWL), ureterorenoscopy (URS), laparoscopic surgeries and open surgery to treat proximal ureter stones. In our study, we aimed to investigate the comparison of intraoperative tolerance and early postoperative quality of life levels of general anesthesia, spinal anesthesia and spinal anesthesia with adjuvant agent in patients to be operated for upper ureteral calculi.Materials and methods: This study was conducted prospectively. In our study, we aimed to investigate the comparison of intraoperative tolerance and early postoperative life quality levels of patients with general anesthesia, spinal anesthesia and adjuvant spinal anesthesia in patients who will be operated on for upper ureteral stones, and for this purpose, 75 patients who were operated on and met the inclusion criteria were recruited. In our study, patients who were operated under general anesthesia were named as group 1, those who were operated under spinal anesthesia using only bupivacaine, group 2, and those who were operated using bupivacaine + fentanyl were named as group 3. Each group consisted of 25 patients. Statistical analyses were performed using SPPS v.20.0.Results: It was observed that the duration of anesthesia, operation time, VAS pain scale, intraoperative heart rate change and intraoperative diastolic blood pressure did not show statistically significant difference between the groups. İt was determined that intraoperative systolic blood pressure was higher inboth groups that underwent spinal anesthesia compared to the group that was applied general anesthesia, and the spo2 level was lower. Conclusions: In this study, in which we evaluated spinal anesthesia as an alternative to general anesthesia, we found that spinal anesthesia is also safe and effective in proximal ureter stone operations. Therefore we think that spinal anesthesia should be preferred more frequently due to the lower risk of postoperative nausea and vomiting, postoperative analgesia, early mobilization and early nutrition compared to general anesthesia.
