Comparison of the effect of general anesthesia and combined epidural anesthesia on the anesthetic management of gynecological oncological surgery

To evaluate the potential advantages of combined general and epidural anesthesia for major gynecological oncological surgeries. The data of 690 gynecological cancer were retrospectively examined, and 223 patients who met the inclusion criteria were included in the study. The patients were divided in...

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Veröffentlicht in:Journal of Turkish Society of Obstetric and Gynecology 2024-12, Vol.21 (4), p.227-234
Hauptverfasser: Mehmet, İrfan, Kaya Uğur, Berna, Çetin, Furkan, Taşkum, İbrahim, Cesur, Mehmet, Ganidağlı, Süleyman, Uğur, Mete Gürol
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container_issue 4
container_start_page 227
container_title Journal of Turkish Society of Obstetric and Gynecology
container_volume 21
creator Mehmet, İrfan
Kaya Uğur, Berna
Çetin, Furkan
Taşkum, İbrahim
Cesur, Mehmet
Ganidağlı, Süleyman
Uğur, Mete Gürol
description To evaluate the potential advantages of combined general and epidural anesthesia for major gynecological oncological surgeries. The data of 690 gynecological cancer were retrospectively examined, and 223 patients who met the inclusion criteria were included in the study. The patients were divided into two groups: Group G (123 patients who received general anesthesia only) and Group C (100 patients who received combined epidural and general anesthesia. The perioperative follow-up data were comparatively analyzed. Operation times in Group G were significantly lower than those in Group C (p=0.018). The blood product replacement rate was higher in Group G (p
doi_str_mv 10.4274/tjod.galenos.2024.22623
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The data of 690 gynecological cancer were retrospectively examined, and 223 patients who met the inclusion criteria were included in the study. The patients were divided into two groups: Group G (123 patients who received general anesthesia only) and Group C (100 patients who received combined epidural and general anesthesia. The perioperative follow-up data were comparatively analyzed. Operation times in Group G were significantly lower than those in Group C (p=0.018). The blood product replacement rate was higher in Group G (p&lt;0.05). Additionally, intraoperative bleeding rates were lower in Group C (p&lt;0.05). Postoperatively, the analgesic requirement time of Group C was significantly later than that of Group G (p=0.0001). The first mobilization time of Group C was substantially earlier (p=0.0001). Thrombosis and cardiac complications were considerably less frequent in group C, although allergic complications were more common (p&lt;0.05). 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The data of 690 gynecological cancer were retrospectively examined, and 223 patients who met the inclusion criteria were included in the study. The patients were divided into two groups: Group G (123 patients who received general anesthesia only) and Group C (100 patients who received combined epidural and general anesthesia. The perioperative follow-up data were comparatively analyzed. Operation times in Group G were significantly lower than those in Group C (p=0.018). The blood product replacement rate was higher in Group G (p&lt;0.05). Additionally, intraoperative bleeding rates were lower in Group C (p&lt;0.05). Postoperatively, the analgesic requirement time of Group C was significantly later than that of Group G (p=0.0001). The first mobilization time of Group C was substantially earlier (p=0.0001). Thrombosis and cardiac complications were considerably less frequent in group C, although allergic complications were more common (p&lt;0.05). 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subjects Clinical Investigation
title Comparison of the effect of general anesthesia and combined epidural anesthesia on the anesthetic management of gynecological oncological surgery
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