Spinal anaesthesia versus general anaesthesia in the surgical microapproach of lumbar disc hernia

摘要

Objectives . The authors’ aim is to demonstrate the systemic impact of spinal anaesthesia compared with general anaesthesia in the minimal incision approach of lumbar disc hernia. Matherial & Method. There are studied two groups of patients, respectively: 22 patients who received general anaesthesia and 24 patients who received spinal anaesthesia; in both groups there were measured : clinical parameters (the time spent in PACU, the patient’s satisfaction regarding the type of anaesthesia, the level of pain using VAS at 1, 6 and 12 hours, the passed time until the first analgetic request, total quantity of used analgetics, functional recovery, nausea, vomiting, urinary retention, number of days of hospitalization) and biological parameters: glycemia, serum cortisol, hGH. Results and Conclusions. The results demonstrate the superiority of spinal anaesthesia in lumbar microdiscectomy with a high level of patient satisfaction and a good functional recovery.