DOI: 10.36347/sjams.2014.v02i03.053

Pages: 1127-1133

Laparoscopic surgery has gained acceptance from both surgical fraternity and the patients. General anesthesia has been the main stay of management in Laparoscopic procedures. Altered respiratory physiology caused by Co2 insufflated pneumoperitoneum and patient positioning is a major concern in laparoscopy. The potentialities of intubation and ventilation related problems including an increase in mechanical ventilation exists in GA. Regional anesthesia offers several advantages like reduced spinal and epidural anesthesia time, quicker recovery, decreased postoperative nausea and vomiting (PONV) hemodynamic stability and reduced bleeding. But right shoulder tip pain is a significant intra operative problems in regional anesthesia. With this background this study in undertaken to compare spinal v/s general anesthesia for lower abdominal laparoscopic surgeries with an aim to compare intra-operative hemodynamic stability, intra and post-operative analgesia, incidence of PONV an right shoulder tip pain etc., 50 patients in age group ranging from 16-60 years of ASA physical status I/II posted for lower adnominal laparoscopic surgeries were randomized into two groups of which first was General Anesthesia (GA) group and second a Subarachnoid block (SA) group. Heart rate systolic and diastolic blood pressure, pain scoring incidence of PONV, shoulder pain were monitored results were statistically analyzed using sample 't' test, Fischer exact test and chi-square test. Spinal anesthesia is a feasible, safe and effective alternative for GA in lower abdominal laparoscopic surgeries as it offers stable hemodynamic status, good surgical recovery and relatively prolonged pain free period.