Anesthetic Technique in Iraqi Women Patients with Hysterectomy

Background: There is a high rate of postoperative pain with a high index in patients undergoing abdominal hysterectomy. Objective: To determine the role of anesthetic technique for Iraqi patients who are undergoing to hysterectomy. Patients and methods: This paper presents a cross-sectional study that examined the impact of anesthesia on patients who underwent hysterectomy by Laparoscopic. The study analysed the basic demographic characteristics and outcomes of women aged 35-60 before, during, and after surgery. Data were collected from hospitals in Baghdad, Iraq, between March 16th, 2022, and July 9th, 2023. The study analysed clinical outcomes from 81 current cases involving intraoperative use of two types of anesthesia: spinal (48) and general anesthesia (33). The data was divided into two groups, with the first group comprising 48 patients receiving spinal anesthesia with morphine and the second group receiving general anesthesia. Results: We diagnosed women's diseases and found that the prevalence of ovarian cancer was 37.3% in patients with general anesthesia, compared to 37.7% in patients with spinal anesthesia. Intraoperative intravenous sufentanil was administered to (40 ± 21) patients undergoing spinal anaesthesia and to (49 ± 21) patients under general anaesthesia. There was no significant difference in Crystalloids administered between the two groups; patients undergoing spinal anaesthesia received (1588 ± 515) mL, while patients under general anaesthesia received (1606 ± 651) mL. Morphine was used by eight patients (16.67%) in the spinal anaesthesia group, compared to only two patients (6%) in the general anaesthesia group. The incidence of ketamine use in patients undergoing spinal anaesthesia was found to be 4.17% (n=2) compared to 3.03% (n=1) in patients receiving general anaesthesia. Albumin was utilised in 12.5% (n=6) of patients receiving spinal anaesthesia; conversely, only one patient in the general anaesthesia group received Albumin. Conclusion: General anaesthesia was deemed an optimal treatment for female patients undergoing hysterectomy, as those who received this type of anaesthesia experienced a superior standard of postoperative recuperation