Ömer Faruk BORAN, Mehmet KANDİLCİK, YAVUZ ORAK, Feyza ÇALIŞIR, Bekir Türkay DEMİR, Mehmet Kutlu DEMİRKOL, Osman BARUT, BÜLENT KATI

EFFECTS OF THE DIFFERENT ANESTHETIC METHODS ON POSTOPERATIVE HOSPITALIZATION AND USE OF ANALGESIA IN VARICOCELE SURGERY

ObjectiveThe aim of this study was to evaluate the effect ofdifferent anesthesia methods used in varicocele surgeryon postoperative pain relief needs and durationof hospitalization.Material and MethodsThis study included 299 patients operated on for varicocele between 2014 and 2018. The patients wereseparated into 4 groups as Group 1 (n:50) appliedwith general anesthesia+local anesthesia (20 ml 2%prilocaine) skin infiltration [general anesthesia group],Group 2 (n:142) applied with spinal anesthesia [spinalanesthesia group], Group 3 (n:52) applied with spinalanesthesia+TAP block [spinal+TAP block group] andGroup 4 (n:55) applied with spinal anesthesia and intrathecalmorphine [spinal+ITM group].ResultsThe requirement for additional analgesia showed nodifference between the general anesthesia groupand the spinal anesthesia group (p>0.05), but wasdifferent compared to the spinal+TAP group and spinal+ITM group (p

VARİKOSEL CERRAHİSİNDE FARKLI ANESTEZİ YÖNTEMLERİNİN POSTOPERATİF YATIŞ VE ANALJEZİ KULLANIMINA ETKİSİ

Amaç Çalışmanın amacı varikosel cerrahisinde kullanılan farklı anestezik tekniklerin postoperatif ağrı kesici ihtiyacı ve hasta yatış süreleri üzerine etkisini değerlendirmektir. Gereç ve Yöntem Bu çalışmaya 2014–2018 yılları arasında varikosel cerrahisi uygulanmış 299 hasta dahil edildi. Hastalar uygulanan anestezik yönteme göre genel anestezi+- lokal anestezi ile (20 mL prilocaine (%2)) cilt infiltrasyonu yapılan hastalar [genel anestezi grubu (grup 1, n=50)], sadece spinal anestezi uygulanan hastalar [spinal anestezi grubu (grup 2, n=142)], Spinal anestezi+ Tap blok uygulanan hastalar [Spinal+Tap blok grubu (grup 3, n=52)] ve spinal anestezi ve intratekal morfin uygulanan hastalar [Spinal+ITM grubu (grup 4, n=55)] olarak gruplandırıldı. Bulgular Genel anestezi grubunda analjezik kullanım oranlarının spinal anestezi grubu karşılaştırıldığında aralarındaki farkı anlamlı olmadığı (p>0.05) Spinal+Tap blok grubu ve spinal+ITM grubu ile karşılaştırıldığında aralarında anlamlı fark olduğu görüldü (tüm p

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