Spinal versus General Anesthesia in Vaginal Hysterectomy: A Retrospective Multicenter Study on Postoperative Recovery and Pain Outcomes

Abstract

Background: Vaginal hysterectomy is a commonly performed procedure, and the choice of anesthesia may influence postoperative recovery. This study aimed to compare the effects of spinal and general anesthesia on postoperative pain and recovery outcomes.
Materials and Methods: This retrospective multicenter study included patients who underwent vaginal hysterectomy between January 2022 and January 2026 at three hospitals. Patients were divided into a spinal anesthesia group (Group S, n = 100) and a general anesthesia group (Group G, n = 100). Demographic characteristics, intraoperative parameters, and postoperative outcomes were analyzed. Postoperative pain was assessed using a 10-point visual analog scale (VAS). Recovery parameters included mobilization time and time to first gas passage.
Results: A total of 200 patients were analyzed. Baseline characteristics were similar between groups (p>0.05). Operation time and hemoglobin changes did not differ significantly (p>0.05). Postoperative pain scores at 1, 12, and 24 hours were comparable (p=0.505, p=0.417, and p = 0.511, respectively). Mobilization time was significantly shorter in the spinal anesthesia group (4.00 vs. 6.14 hours, p<0.001). Time to first gas passage was also shorter (24.91 vs. 28.39 hours, p=0.028). Complication rates were similar between the groups (9.0% vs. 9.0%, p=1.000).
Conclusion: Spinal and general anesthesia provided similar postoperative pain control. However, spinal anesthesia was associated with faster postoperative recovery, including earlier mobilization and quicker gastrointestinal recovery, without increasing complications.

Keywords

• Vaginal hysterectomy
• Spinal anesthesia
• General anesthesia
• Postoperative recovery
• Pain
• Early mobilization

Supporting Institution

None

Project Number

None

Ethical Statement

Ethical approval was obtained from the Clinical Research Ethics Committee of Gazi Yaşargil Training and Research Hospital (approval no: 65, date: February 12, 2026).

Thanks

None

Vajinal Histerektomide Spinal ve Genel Anestezinin Karşılaştırılması: Postoperatif İyileşme ve Ağrı Üzerine Retrospektif Çok Merkezli Çalışma

Abstract

Amaç: Vajinal histerektomi sık uygulanan bir cerrahi olup, anestezi yöntemi postoperatif iyileşmeyi etkileyebilir. Bu çalışmada spinal ve genel anestezinin postoperatif ağrı ve iyileşme üzerine etkileri karşılaştırıldı.
Materyal ve Metod: Bu retrospektif çok merkezli çalışmaya Ocak 2022–Ocak 2026 tarihleri arasında vajinal histerektomi yapılan hastalar dahil edildi. Hastalar spinal anestezi (Grup S, n=100) ve genel anestezi (Grup G, n=100) olarak iki gruba ayrıldı. Demografik veriler, intraoperatif parametreler ve postoperatif sonuçlar analiz edildi. Postoperatif ağrı 10 puanlık görsel analog skala (VAS) ile değerlendirildi. İyileşme parametreleri mobilizasyon zamanı ve ilk gaz çıkarma süresini içermekteydi.
Bulgular: Toplam 200 hasta değerlendirildi. Gruplar arasında demografik özellikler benzerdi (p>0,05). Operasyon süresi ve hemoglobin değişimleri açısından fark yoktu (p>0,05). Postoperatif 1., 12. ve 24. saat ağrı skorları benzer bulundu (p=0,505, p=0,417, p=0,511). Spinal anestezi grubunda mobilizasyon süresi daha kısa idi (4,00 vs. 6,14 saat, p<0,001). İlk gaz çıkarma süresi de daha kısa bulundu (24,91 vs. 28,39 saat, p=0,028). Komplikasyon oranları benzerdi (%9,0 vs. %9,0, p=1,000).
Sonuç: Spinal ve genel anestezi benzer ağrı kontrolü sağlar. Ancak spinal anestezi daha hızlı iyileşme, erken mobilizasyon ve gastrointestinal fonksiyonların daha hızlı geri dönüşü ile ilişkilidir ve komplikasyon oranlarını artırmamaktadır.

Keywords

• Vajinal histerektomi
• Spinal anestezi
• Genel anestezi
• Postoperatif iyileşme
• Ağrı
• Erken mobilizasyon

Supporting Institution

Yoktur

Project Number

None

Ethical Statement

Ethical approval was obtained from the Clinical Research Ethics Committee of Gazi Yaşargil Training and Research Hospital (approval no: 65, date: February 12, 2026).

Thanks

Yoktur

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