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Mode of anesthesia and postoperative symptoms following abdominal hysterectomy in a fast-track setting.
Linköpings universitet.
Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.ORCID iD: 0000-0002-0961-5250
Linköpings universitet.
2011 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 90, no 4, 369-379 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To determine whether postoperative symptoms differ between women who undergo abdominal benign hysterectomy in a fast-track model under general anesthesia or spinal anesthesia with intrathecal morphine.

DESIGN: Secondary analysis from a randomized, open, multicenter study.

SETTING: Five hospitals in south-east Sweden.

POPULATION: One-hundred and eighty women scheduled for benign hysterectomy were randomized; 162 completed the study; 82 were allocated to spinal and 80 to general anesthesia.

METHODS: The Swedish Postoperative Symptoms Questionnaire, completed daily for 1 week and thereafter once a week until 5 weeks postoperatively.

MAIN OUTCOME MEASURES: Occurrence, intensity and duration of postoperative symptoms.

RESULTS: Women who had hysterectomy under spinal anesthesia with intrathecal morphine experienced significantly less discomfort postoperatively compared with those who had the operation under general anesthesia. Spinal anesthesia reduced the need for opioids postoperatively. The most common symptoms were pain, nausea and vomiting, itching, drowsiness and fatigue. Abdominal pain, drowsiness and fatigue occurred significantly less often and with lower intensity among the spinal anesthesia group. Although postoperative nausea and vomiting was reported equally in the two groups, vomiting episodes were reported significantly more often during the first day after surgery in the spinal anesthesia group. Spinal anesthesia was associated with a higher prevalence of postoperative itching.

CONCLUSIONS: Spinal anesthesia with intrathecal morphine carries advantages regarding postoperative symptoms and recovery following fast-track abdominal hysterectomy.

Place, publisher, year, edition, pages
2011. Vol. 90, no 4, 369-379 p.
National Category
Medical and Health Sciences
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-28959DOI: 10.1111/j.1600-0412.2010.01059.xPubMedID: 21332679Scopus ID: 2-s2.0-79952962865OAI: oai:DiVA.org:lnu-28959DiVA: diva2:649519
Available from: 2013-09-18 Created: 2013-09-18 Last updated: 2017-12-06Bibliographically approved

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Årestedt, Kristofer

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