Comparison of Spinal Anesthesia vs. Local Infiltration Anesthesia in Postoperative Pain in Patients Undergoing Sinusectomy Surgery

Abstract

Introduction:Different anesthesia techniques were reported for the management of pilonidal sinus surgery, including local infiltration anesthesia (LIA), epidural anesthesia, spinal anesthesia (SA), and general anesthesia. However, even up to this date, the best anesthetic technique remains controversial. Here; we compared LIA SA for postoperative pain levels after pilonidal sinus disease surgery.Methods:We conducted a single-center prospective observational clinical trial between May 2022 and January 2023 in our tertiary education hospital. A total of 60 patients with a diagnosis of pilonidal sinus were included in the study Postoperative 0-hour, 1 hour, 8 hours, and 24-hour numeric rating scores (NRS) of the patients were evaluated. Results were evaluated using Statistical Package for the Social Sciences.Results:While 30 (50%) patients were operated under local anesthesia, 30 (50%) patients were operated under SA. 55 (91.7%) patients were male, 5 (8.3%) patients were female. The mean age of the patients operated under local anesthesia was 29.68±6.85 years, while the mean age of the patients operated under SA was 26.23±7.04 years. There was no statistically significant difference in age between the groups. When the comparison between postoperative NRS scores of SA and LIA was evaluated, there was no significant difference at postoperative 0 h and postoperative 1st hour. However, LIA NRS scores at 8th and 24th h were lower than SA scores. Recurrence was observed in 3 patients from both groups in the 3rd month outpatient controls. The difference between the groups was not statistically significant. All patients were discharged postoperatively on the 1st day of the surgery.Conclusion:As a result, we may suggest using LIA for pilonidal surgery for the anesthetic technique.

Keywords

• spinal anesthesia
• local infiltration anesthesia
• sinusectomy surgery