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Eurasian Journal of Medicine and Oncology A Comparison of Spinal and Epidural Anesthesia in Pilonidal Sinus Surgery: A Prospective Randomized Single-Center Clinical Study [EJMO]
EJMO. 2017; 1(4): 197-201 | DOI: 10.14744/ejmo.2017.30502

A Comparison of Spinal and Epidural Anesthesia in Pilonidal Sinus Surgery: A Prospective Randomized Single-Center Clinical Study

Turgut Donmez1, Adnan Hut2, Vuslat Muslu Erdem3, Duygu Ayfer Erdem3, Doğan Yildirim2, Sinan Uzman4, Oguzhan Sunamak5, Muzaffer Akinci2, Ibrahim Halil Ozata1
1Department of General Surgery, Lutfiye Nuri Burat State Hospital, Istanbul, Turkey
2Department of General Surgery, Haseki Training and Research Hospital, Istanbul, Turkey
3Department of Anesthesiology and Reanimation, Lutfiye Nuri Burat State Hospital, Istanbul, Turkey
4Department of Anesthesiology and Reanimation, Haseki Training and Research Hospital, Istanbul, Turkey
5Department of General Surgery, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey

Objectives: Regional anesthesia techniques may be preferred to general anesthesia for pilonidal sinus surgery due to difficulties related to the prone position under general anesthesia. The aim of this study was to compare spinal anesthesia (SA) and epidural anesthesia (EA) with respect to perioperative and postoperative side effects and postoperative pain.
Methods: A total of 100 American Society of Anesthesiologist class I or II patients underwent pilonidal sinus surgery. The patients were randomly divided into 2 groups of SA (n=50) or EA (n=50). The perioperative and postoperative side effects related to anesthesia and postoperative pain level were compared between the groups.
Results: There was a significant difference with respect to the maximal sensorial height of block (EA: L1-L3; SA: T7-T11; p<0.001). The duration of the sensorial block was significantly longer in the EA group (290±23 minutes) compared with the SA group (215±6 minutes). No patient in the EA group developed motor block. There was no significant difference between the groups in the side effects related to anesthesia. The postoperative pain level was evaluated with the Visual Analogue Scale in the postoperative recovery room and at 6, 12, and 24 hours after surgery. None of the patients in either group required analgesic treatment for first 6 hours after the surgery. There was significantly less postoperative pain in the EA group compared with the SA group, except at the sixth hour, but the clinical difference was small.
Conclusion: EA may be preferred to SA due to better postoperative pain control and the absence of a motor block.

Keywords: Epidural anesthesia, pilonidal sinus surgery, spinal anesthesia

Turgut Donmez, Adnan Hut, Vuslat Muslu Erdem, Duygu Ayfer Erdem, Doğan Yildirim, Sinan Uzman, Oguzhan Sunamak, Muzaffer Akinci, Ibrahim Halil Ozata. A Comparison of Spinal and Epidural Anesthesia in Pilonidal Sinus Surgery: A Prospective Randomized Single-Center Clinical Study. EJMO. 2017; 1(4): 197-201

Corresponding Author: Sinan Uzman, Türkiye
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