Efficacy Of Spinal Anesthesia Versus General Anesthesia for Single-Level Microdiscectomy at POF Hospital, Wah Cantt: Spinal Versus General Anesthesia for Single-Level Microdiscectomy

Haris Ali; Mehboob Alam; Sohail Ahmad

doi:10.54393/pjhs.v7i7.4126

Authors

Haris Ali Department of Neurosurgery, Pakistan Ordnance Factories Hospital, Wah Cantt, Pakistan
Mehboob Alam Department of Neurosurgery, Pakistan Ordnance Factories Hospital, Wah Cantt, Pakistan
Sohail Ahmad Department of Neurosurgery, Pakistan Ordnance Factories Hospital, Wah Cantt, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v7i7.4126

Keywords:

Lumbar Disc Herniation, Single Level Microdiscectomy, Spinal Anesthesia, General Anesthesia, Outcomes

Abstract

Existing studies show varying results regarding the outcomes of single-level lumbar microdiscectomy under spinal anesthesia and general anesthesia, leaving uncertainty about their relative benefits. Objective: To compare the outcomes of spinal anesthesia versus general anesthesia in single-level microdiscectomy. Methods: This quasi-experimental study was conducted at the Department of Neurosurgery, POF Hospital, Wah Cantt. A total of 60 male and female patients with lumbar disc herniation with single-level microdiscectomy under spinal and general anesthesia were compared for outcomes in terms of surgery time, post-anesthesia care unit time, intraoperative blood loss, dural tear, post-operative pain, and hospital stay. Results: The mean age of the participants was 49.65 ± 7.43 years, and participants aged more than 45 years were 37 (61.7%), while the majority of the patients were female, n=32 (53.3%). The mean operative time with spinal anesthesia was 71.0 ± 4.30 minutes versus 88.00 ± 4.21 minutes with GA (p<0.001). Mean PACU time spent by patients with spinal and general anesthesia was 1.50±0.63 days and 2.03 ± 0.85 days, respectively (p=0.008). Mean hospital stay of patients with spinal was 2.57 ± 0.63 days versus 3.67 ± 0.80 days with general anesthesia (p<0.001). Dural tears were observed in patients (3.3%) with spinal versus 02 patients (6.6%) with general anesthesia (p=0.643). Conclusions: Spinal anesthesia was associated with better perioperative outcomes than general anesthesia in patients who underwent lumbar microdiscectomy when assessed in terms of operative time, PACU time, and hospital stay.

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