Neuraxial Anesthesia Provides Better Recovery Than General Anesthesia for Abdominal Hysterectomy

Neuraxial anesthesia provides better quality of recovery than general anesthesia for patients undergoing abdominal hysterectomy, according to a study published in the Sept. 2011 issue of Anesthesia & Analgesia.

According to the study's abstract, patients undergoing abdominal hysterectomy often have significant postoperative pain, despite the use of concurrent multimodal pain strategies. The study sought to compare the effects of neuraxial anesthesia and general anesthesia on postoperative quality of recovery after the surgery.

The study recruited 70 healthy females and randomized them to a general anesthesia or neuraxial technique as their primary anesthetic regimen. The primary outcome was the global quality of recovery, based on a questionnaire at 24 hours post-surgery.

The study found that the opioid-sparing effects of neuraxial anesthesia were associated with a better quality of recovery in patients after the surgical procedure. The study authors recommended neuraxial anesthesia as a better anesthetic plan for patients in the absence of contraindications.  

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