Mode of anesthesia and XXXX following abdominal hysterectomy in a fast-track setting.

@entity1 @entity390 @entity391 @entity1295 @entity86 @entity158 @entity1286 @entity490 @entity1209
OBJECTIVE: To determine whether @entity86 differ between @entity1 who undergo abdominal benign hysterectomy in a fast-track model under general anesthesia or spinal anesthesia with intrathecal @entity1286 . DESIGN: Secondary analysis from a randomized, open, multicenter study. SETTING: Five hospitals in south-east Sweden. POPULATION: One-hundred and eighty @entity1 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 @entity86 . RESULTS: @entity1 who had hysterectomy under spinal anesthesia with intrathecal @entity1286 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 @entity158 , @entity390 and @entity391 , itching, drowsiness and @entity1295 . @entity490 , drowsiness and @entity1295 occurred significantly less often and with lower intensity among the spinal anesthesia group. Although @entity1209 was reported equally in the two groups, @entity391 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 @entity1286 carries advantages regarding @entity86 and recovery following fast-track abdominal hysterectomy.
