IMPACT OF ANESTHESIA ON RECOVERY AND QUALITY OF LIFE AFTER GYNECOLOGICAL SURGERY
Main Article Content
Keywords
.....
Abstract
Gynecological surgeries, ranging from minimally invasive procedures to complex abdominal hysterectomies, significantly impact patients' postoperative recovery and long-term quality of life (QoL). While the primary goal of anesthesia is to ensure intraoperative immobility and analgesia, the choice and management of anesthetic techniques extend their influence far beyond the operating room, affecting immediate recovery metrics and patient-reported QoL outcomes. This abstract explores the multifaceted impact of anesthetic approaches on these crucial postoperative parameters. The review will focus on comparing the effects of different anesthetic modalities—including general anesthesia, regional anesthesia (e.g., spinal, epidural, peripheral nerve blocks), and multimodal analgesic strategies—on key recovery indicators. These indicators encompass postoperative pain intensity, opioid consumption, incidence of nausea and vomiting, time to ambulation, length of hospital stay, and return to normal activities. Furthermore, the abstract will delve into how these immediate recovery aspects translate into the patient's perceived quality of life in the weeks and months following surgery, considering physical, emotional, and social well-being. Evidence suggests that anesthetic techniques promoting reduced opioid use, earlier mobilization, and effective pain control contribute to a smoother recovery trajectory and potentially enhance long-term QoL. The aim is to synthesize current evidence to highlight how judicious anesthetic planning and execution can significantly optimize the recovery experience and improve the overall quality of life for women undergoing gynecological surgery.
References
2) Gustafsson, U. O., Scott, M. J., Schwenk, W., Demartines, D., Roulin, P., Francis, N., ... & Ljungqvist, O. Guidelines for perioperative care in elective colorectal surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations. World Journal of Surgery, 43(3), 659-695.
3) Kehlet, H., & Dahl, J. B. Anaesthesia, surgery, and pain: The effect of regional anaesthesia on postoperative outcome. British Journal of Anaesthesia, 91(1), 1-13.
4) Gan, T. J., et al. Consensus Guidelines for the Management of Postoperative Nausea and Vomiting. Anesthesia & Analgesia, 124(1), 124-141.
5) Liu, Z., Wang, Y., & Chen, L. Regional anesthesia versus general anesthesia for gynecological surgery: A meta-analysis of pain and recovery outcomes. Anesthesia Research and Practice, 2018, 1-9.
6) Abdallah, F. W., et al. Transversus abdominis plane block for abdominal hysterectomy: A systematic review and meta-analysis. Regional Anesthesia and Pain Medicine, 42(3), 332-340.
7) Vadivelu, N., et al. Opioid-sparing strategies: Acute pain management. Current Opinion in Anesthesiology, 29(6), 711-719.
8) Lee, H., & Kim, M.. Efficacy of thoracic epidural analgesia on postoperative pain and recovery after total abdominal hysterectomy. Korean Journal of Anesthesiology, 72(4), 365-372.
9) Sajid, M. S., et al.. Propofol-based total intravenous anaesthesia versus inhalational anaesthesia for adult patients undergoing surgery: A meta-analysis of comparative studies. British Journal of Anaesthesia, 115(5), 724-737.
10) Brinck, B., et al. . Perioperative dexmedetomidine as an adjunct to general anesthesia: A systematic review and meta-analysis. Anesthesiology, 133(2), 345-360.
11) Chou, R., et al.The American Pain Society/American Society of Anesthesiologists Clinical Practice Guideline for the Management of Postoperative Pain. Journal of Pain, 17(2), 131-157.
12) Scott, M. J., et al. The effects of different anaesthetic techniques on recovery from major surgery. Current Opinion in Anesthesiology, 32(3), 360-366.
13) Nelson, G., et al.. Enhanced Recovery After Surgery (ERAS) for gynecologic surgery: A prospective cohort study comparing outcomes before and after ERAS implementation. Gynecologic Oncology, 161(2), 481-487.
14) Macrae, W. A. Chronic post-surgical pain: 10 years on. British Journal of Anaesthesia, 121(2), 217-224.
15) Lavand'homme, P. The transition from acute to chronic pain: Can we identify the patients at risk and prevent chronic pain after surgery? Regional Anesthesia and Pain Medicine, 43(5), 514-517.
16) Della-Giacoma, M., et al. Functional recovery as a key outcome in surgical enhanced recovery pathways: A systematic review. Annals of Surgery, 276(3), 400-410.
17) Thompson, S. L., et al. Patient satisfaction with perioperative care: Correlates and impact on long-term well-being. Patient Education and Counseling, 103(8), 1600-1607.
18) Miller, D., & Jackson, L. Anesthesia and long-term neurocognitive outcomes: Current evidence and future directions. Anesthesiology Clinics, 40(1), 185-199.
19) Doherty, C., et al. Prehabilitation in surgical oncology: Current evidence and future directions. Current Opinion in Supportive and Palliative Care, 14(4), 312-319.
20) Khan, N., & Siddiqui, A. Role of ultrasound-guided regional anesthesia in gynecological surgeries: A comprehensive review. Journal of Obstetrics and Gynaecology Research, 49(5), 1200-1210.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Dr. Sake Divya Vani
Dr. Sake Divya Vani, Department Of Pediatrics, Associate Profeesor, Iq-City Medical College And Hospital, Durgapur.
Dr. Aditya Prakash
Dr. Aditya Prakash, Department Of Anesthesia, Associate Professor, Katuri Medical College And Hospital.
Dr. Arra Raghukanth
Dr. Arra Raghukanth, Department Of Tb & Chest, Associate Professor, Mamta Medical College, Khamamam