ESTIMATION OF THE EFFICIENCY OF PROGRAMMED EPIDURAL ANESTHESIA AND ANALGESIA IN PATIENTS WITH BENIGN PROSTATE HYPERPLASIA DURING OPEN TRANSVESICAL PROSTATEKTOMY OPERATION
DOI:
https://doi.org/10.31379/2411.2616.16.2.9Keywords:
benign prostatic hyperplasia, surgery, transvesical prostatectomy, programmed epidural analgesia.Abstract
Aim. The aim of this study was to compare the options for anesthesia and perioperative analgesia in patients with benign prostatic hyperplasia (BPH) who required surgery in the volume of open transvesical prostatectomy (TVPE) at the Odessa Regional Clinical Hospital in Odessa from September 2013 to September 2018. Materials and methods. Of the 86 patients who met the conditions for inclusion in the study, two groups were formed. Group A consisted of 38 patients, whose perioperative anesthesia and analgesia was provided by programmed epidural administration (programmed epidural anesthesia / analgesia, PEA) of ropivacaine 0.25% through the epidural catheter. Group B (control) included 48 patients, whose intervention was carried out using propofol 1% as anesthetic and perioperative parenteral administration of 0.005% fentanyl as an analgetic agent. Hemodynamic parameters, the quality of peri- and postoperative analgesia were assessed. Results. It was found that surgery in group A is associated with faster post-anesthetic rehabilitation and effective postoperative analgesia compared with that in group B. Conclusion. Based on the research data, PEA in the perioperative period can be recommended for men with a given volume of surgery and this pathology as a technique that promotes early activisation of the patient and demonstrates a higher efficiency of analgesia in the postoperative period.
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