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Erschienen in: International Urogynecology Journal 9/2016

25.01.2016 | Original Article

Effect of anesthesia type on perioperative outcomes with a midurethral sling

verfasst von: Bhumy A. Davé, Camaleigh Jaber, Alix Leader-Cramer, Nicole Higgins, Margaret Mueller, Christina Lewicky-Gaupp, Kimberly Kenton

Erschienen in: International Urogynecology Journal | Ausgabe 9/2016

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Abstract

Introduction and hypothesis

There is no consensus on the most appropriate type of anesthesia for placement of a midurethral sling. Our objective was to compare intra- and perioperative outcomes for this procedure performed under general anesthesia versus monitored anesthesia care.

Methods

Retrospective cohort analysis of women undergoing outpatient placement of synthetic retropubic midurethral sling under general anesthesia (n = 141) or monitored anesthesia care (n = 84). Patients undergoing concomitant procedures were excluded. Primary outcome was operating room time. Secondary outcomes included surgical and recovery times, cost, discharge home with a catheter, and postoperative pain and/or nausea.

Results

In the general anesthesia group, both operating room time (mean ± SD, 67.6 ± 13.3 min vs 56.9 ± 11.8 min, p < 0.001) and recovery room time (240.0 ± 69.8 min vs 190.1 ± 78.3 min, p < 0.001) were longer, whereas there was no difference in surgical time (30.0 ± 8.9 min vs 29.0 ± 9.7 min, p = 0.43). Cost was significantly higher in the general anesthesia group ($4,095 ± 715 vs $3,877 ± 777, p = 0.03). There was no difference in rates of bladder perforation (6.4 % vs 11.9 %, p = 0.33). Patients who underwent general anesthesia had higher rates of discharge with a catheter (27.0 % vs 15.8 %, p = 0.04).

Conclusion

Monitored anesthesia care may offer significant benefits over general anesthesia in women undergoing retropubic midurethral sling, including shorter operating room and recovery times, lower costs, and less voiding dysfunction in the immediate postoperative period.
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Metadaten
Titel
Effect of anesthesia type on perioperative outcomes with a midurethral sling
verfasst von
Bhumy A. Davé
Camaleigh Jaber
Alix Leader-Cramer
Nicole Higgins
Margaret Mueller
Christina Lewicky-Gaupp
Kimberly Kenton
Publikationsdatum
25.01.2016
Verlag
Springer London
Erschienen in
International Urogynecology Journal / Ausgabe 9/2016
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-016-2950-7

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