Postoperative epidural analgesia following radical retropubic prostatectomy: outcome assessment.
Publication/Presentation Date
2-1-1998
Abstract
BACKGROUND AND OBJECTIVES: We retrospectively examined the effects of epidural analgesia on patients undergoing radical retropubic prostatectomy (RRP).
METHODS: Patients (203) underwent radical retropubic prostatectomy under either general or epidural anesthesia alone or a combined general epidural technique. Of those, 143 had an epidural catheter placed and underwent radical retropubic prostatectomy under general anesthesia followed by postoperative epidural analgesia (Group E+G). Twenty-eight patients had the operation under epidural anesthesia followed by epidural analgesia in the postoperative period (Group E). Thirty-two patients had general anesthesia for the operation and postoperative systemic analgesia (Group G).
RESULTS: There were no significant differences between the groups with respect to age, height, weight, ASA status, or operation time. The length of postoperative hospital stay was significantly longer in the general anesthesia group patients as compared to the other two groups (P < 0.05). Intraoperative blood loss and blood replacement were significantly higher in the general anesthesia group (P < 0.001). There were no significant differences between the groups with respect to return of bowel function postoperatively, or incidence of complications.
CONCLUSIONS: Epidural anesthesia and analgesia following radical retropubic prostatectomy have demonstrated a number of beneficial effects. These include decreased blood loss and shorter hospital stay.
Volume
67
Issue
2
First Page
117
Last Page
120
ISSN
0022-4790
Published In/Presented At
Frank, E., Sood, O. P., Torjman, M., Mulholland, S. G., & Gomella, L. G. (1998). Postoperative epidural analgesia following radical retropubic prostatectomy: outcome assessment. Journal of surgical oncology, 67(2), 117–120. https://doi.org/10.1002/(sici)1096-9098(199802)67:2<117::aid-jso8>3.0.co;2-d
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
9486783
Department(s)
Administration and Leadership
Document Type
Article