1Post Graduate, Department of Anaesthesiology, Meenakshi Medical College Hospital & Research Institute, MAHER University, Kanchipuram.
2Professor, Department of Anaesthesiology, Meenakshi Medical College Hospital & Research Institute, MAHER University, Kanchipuram.
3Assistant Professor, Department of Anaesthesiology, Meenakshi Medical College Hospital & Research Institute, MAHER University, Kanchipuram.
4Post Graduate, Department of Anaesthesiology, Meenakshi Medical College Hospital & Research Institute, MAHER University, Kanchipuram.
Contact details: vrkavinraj1996@gmail.com
Background: Laparoscopic gynecological surgeries are widely performed due to their advantages such as reduced postoperative pain, shorter hospital stay, and faster recovery. The choice of anesthetic technique plays an important role in determining perioperative stability, postoperative pain control, and recovery outcomes. Both general anesthesia and regional anesthesia are commonly used for these procedures, and their comparative effectiveness continues to be an important area of clinical evaluation.
Aim: To compare general anesthesia and regional anesthesia in laparoscopic gynecological surgeries with respect to recovery profile and postoperative pain outcomes.
Materials and Methods: This comparative cross-sectional study was conducted in the Department of Anaesthesia at a tertiary care teaching hospital attached to Meenakshi Medical College, Kanchipuram. A total of 50 patients undergoing elective laparoscopic gynecological surgeries were included in the study. Patients were divided into two groups: Group A (n = 25) received general anesthesia and Group B (n = 25) received regional anesthesia (spinal anesthesia). Intraoperative hemodynamic parameters, duration of surgery, postoperative pain scores assessed using the Visual Analogue Scale, and postoperative complications were recorded. Statistical analysis was performed using appropriate statistical tests, and a p value < 0.05 was considered statistically significant.
Results: Patients receiving regional anesthesia demonstrated better hemodynamic stability with lower mean heart rate (88.1 ± 8.8 beats/min) compared with the general anesthesia group (92.4 ± 9.6 beats/min) (p = 0.04). Postoperative pain scores were significantly lower in the regional anesthesia group at 6 hours (3.9 ± 1.1 vs 5.6 ± 1.2; p = 0.001) and 12 hours (2.8 ± 0.9 vs 4.2 ± 1.0; p = 0.002) following surgery. Postoperative nausea and vomiting were more frequent in the general anesthesia group, although the difference was not statistically significant.
Conclusion: Regional anesthesia may provide improved hemodynamic stability and better postoperative pain control compared with general anesthesia in laparoscopic gynecological surgeries.
Keywords: Laparoscopic gynecological surgery, general anesthesia, regional anesthesia, postoperative pain, recovery outcomes.
How to cite this article: Kavinraj VR, Namasivayam SA, Gokulakrishnan K, Variar K. Clinical Comparison of General and Regional Anesthesia for Laparoscopic Gynecological Surgeries with Emphasis on Recovery and Pain Outcomes. Int J Drug Deliv Technol. 2026;16(12s): 465-469. DOI: 10.25258/ijddt.16.12s.57
Source of support: Nil.
Conflict of interest: None