SavedAdd your journal

Journals / Harran Üniversitesi Tıp Fakültesi Dergisi / 2026 / Cilt: 23 Sayı: 2

Spinal versus General Anesthesia in Vaginal Hysterectomy: A Retrospective Multicenter Study on Postoperative Recovery and Pain Outcomes

Vajinal Histerektomide Spinal ve Genel Anestezinin Karşılaştırılması: Postoperatif İyileşme ve Ağrı Üzerine Retrospektif Çok Merkezli Çalışma

Abdurrahman Sengi(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, DİYARBAKIR GAZİ YAŞARGİL SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0001-7513-8205
Mayıs Jinda Pekgül(UNIVERSITY OF HEALTH SCIENCES, DİYARBAKIR GAZİ YAŞARGİL HEALTH RESEARCH CENTER, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY)0009-0003-0769-0294
Mehmet Nuri Duran(ÇANAKKALE ONSEKİZ MART ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-6925-711X
Pages
299–305
Publication Date
2026-06-26
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

However, spinal anesthesia was associated with faster postoperative recovery, including earlier mobilization and quicker gastrointestinal recovery, without increasing complications.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background: Vaginal hysterectomy is a commonly performed procedure, and the choice of anesthesia may influence postoperative recovery.
📊
Key Findings & Data:Materials and Methods: This retrospective multicenter study included patients who underwent vaginal hysterectomy between January 2022 and January 2026 at three hospitals.
💡
Conclusion & Impact:However, spinal anesthesia was associated with faster postoperative recovery, including earlier mobilization and quicker gastrointestinal recovery, without increasing complications.
🔬Design:Araştırma Makalesi
📍Scope:2022 Verileri
⚙️Variables:Vajinal histerektomi · Spinal anestezi · Genel anestezi

Abstract

Background: Vaginal hysterectomy is a commonly performed procedure, and the choice of anesthesia may influence postoperative recovery. This study aimed to compare the effects of spinal and general anesthesia on postoperative pain and recovery outcomes. Materials and Methods: This retrospective multicenter study included patients who underwent vaginal hysterectomy between January 2022 and January 2026 at three hospitals. Patients were divided into a spinal anesthesia group (Group S, n = 100) and a general anesthesia group (Group G, n = 100). Demographic characteristics, intraoperative parameters, and postoperative outcomes were analyzed. Postoperative pain was assessed using a 10-point visual analog scale (VAS). Recovery parameters included mobilization time and time to first gas passage. Results: A total of 200 patients were analyzed. Baseline characteristics were similar between groups (p>0.05). Operation time and hemoglobin changes did not differ significantly (p>0.05). Postoperative pain scores at 1, 12, and 24 hours were comparable (p=0.505, p=0.417, and p = 0.511, respectively). Mobilization time was significantly shorter in the spinal anesthesia group (4.00 vs. 6.14 hours, p<0.001). Time to first gas passage was also shorter (24.91 vs. 28.39 hours, p=0.028). Complication rates were similar between the groups (9.0% vs. 9.0%, p=1.000). Conclusion: Spinal and general anesthesia provided similar postoperative pain control. However, spinal anesthesia was associated with faster postoperative recovery, including earlier mobilization and quicker gastrointestinal recovery, without increasing complications.

Özet

Amaç: Vajinal histerektomi sık uygulanan bir cerrahi olup, anestezi yöntemi postoperatif iyileşmeyi etkileyebilir. Bu çalışmada spinal ve genel anestezinin postoperatif ağrı ve iyileşme üzerine etkileri karşılaştırıldı. Materyal ve Metod: Bu retrospektif çok merkezli çalışmaya Ocak 2022–Ocak 2026 tarihleri arasında vajinal histerektomi yapılan hastalar dahil edildi. Hastalar spinal anestezi (Grup S, n=100) ve genel anestezi (Grup G, n=100) olarak iki gruba ayrıldı. Demografik veriler, intraoperatif parametreler ve postoperatif sonuçlar analiz edildi. Postoperatif ağrı 10 puanlık görsel analog skala (VAS) ile değerlendirildi. İyileşme parametreleri mobilizasyon zamanı ve ilk gaz çıkarma süresini içermekteydi. Bulgular: Toplam 200 hasta değerlendirildi. Gruplar arasında demografik özellikler benzerdi (p>0,05). Operasyon süresi ve hemoglobin değişimleri açısından fark yoktu (p>0,05). Postoperatif 1., 12. ve 24. saat ağrı skorları benzer bulundu (p=0,505, p=0,417, p=0,511). Spinal anestezi grubunda mobilizasyon süresi daha kısa idi (4,00 vs. 6,14 saat, p<0,001). İlk gaz çıkarma süresi de daha kısa bulundu (24,91 vs. 28,39 saat, p=0,028). Komplikasyon oranları benzerdi (%9,0 vs. %9,0, p=1,000). Sonuç: Spinal ve genel anestezi benzer ağrı kontrolü sağlar. Ancak spinal anestezi daha hızlı iyileşme, erken mobilizasyon ve gastrointestinal fonksiyonların daha hızlı geri dönüşü ile ilişkilidir ve komplikasyon oranlarını artırmamaktadır.

🔖

Cite This Article

Sengi, A., Pekgül, M. J., Duran, M. N. (2026). Spinal versus General Anesthesia in Vaginal Hysterectomy: A Retrospective Multicenter Study on Postoperative Recovery and Pain Outcomes. Harran Üniversitesi Tıp Fakültesi Dergisi, Cilt: 23 Sayı: 2, 299–305. https://ajindex.com/articles/1080806

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Nieboer TE, Johnson N, Lethaby A, Tavender E, Curr E, Garry R, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2009;CD003677.
  2. ACOG Committee Opinion No. 701. Choosing the route of hysterectomy. Obstet Gynecol. 2017;129(6):e155–9.
  3. Liu S, Carpenter RL, Neal JM. Epidural anesthesia and analgesia. Anesthesiology. 1995;82(6):1474–506.
  4. Rodgers A, Walker N, Schug S, McKee A, Kehlet H, van Zundert A, et al. Reduction of postoperative mortality and morbidity with neuraxial anesthesia: overview of randomised trials. BMJ. 2000;321(7275):1493–7.
  5. Carpenter RL, Caplan RA, Brown DL, Stephenson C, Wu R. Incidence and risk factors for side effects of spinal anesthesia. Anesthesiology. 1992;76(6):906–16.
  6. Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Am J Surg. 1999;178(5):381–4.
  7. Hong JY, Kim WO, Kil HK. Spinal versus general anesthesia for gynecologic surgery. Int J Med Sci. 2010;7(2):103-9.
  8. Gupta A, Tewari A, Kumar A, Gupta S. Comparative study of spinal and general anesthesia in gynecologic surgeries. J Anaesthesiol Clin Pharmacol. 2014;30(3):379–83.
  9. Catarci S, Zanfini BA, Capone E, Vassalli F, Frassanito L, Biancone M, et al. Blended (combined spinal and general) vs general anesthesia for abdominal hysterectomy: a retrospective study. J Clin Med. 2023;12(14):4775.
  10. Taflan MG, Akdeniz S, Kusderci H, Arslan K, Ünal M, Süren M, et al. Comparison of combined spinal-epidural versus general anesthesia with epidural catheter on postoperative quality of recovery after abdominal hysterectomy: a prospective observational study. BMC Anesthesiol. 2025;25(1):386.
  11. Wick EC, Grant MC, Wu CL. Postoperative multimodal analgesia strategies. JAMA Surg. 2017;152(7):691–7.
  12. Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. JAMA Surg. 2017;152(3):292–8.
  13. Arkan K, Yilmaz KC, Erkmen AD, Akgol S, Colak GC, Haliscelik MA, et al. Does regional anesthesia improve recovery after vNOTES hysterectomy? A comparative observational study. Medicina (Kaunas). 2026;62(1):154.
  14. Hewson DW, Tedore TR, Hardman JG. Impact of spinal or epidural anaesthesia on perioperative outcomes in adult noncardiac surgery: a narrative review of recent evidence. Br J Anaesth. 2024;133(2):380–99.
  15. Hashemian M, Sahebdad-Khabisi S, Honarvar Z, Torabinejad Z, Taravati H, Doost Mohammadi F, et al. Effects of spinal versus general anesthesia on serum oxidative stress markers and cytokine release after abdominal hysterectomy: a non-randomized trial. Sci Rep. 2025;15:30247.