Comparison of Spinal Anesthesia and Spermatic Cord Block for Bilateral Orchiectomy

Launched by SANPASITTHIPRASONG HOSPITAL · Mar 9, 2024

Keywords

ClinConnect Summary

Objective : To compare intraoperative pain score, Morphine consumption during 6 and 12 hour after surgery, and postoperative complications between SA and SCB groups.

Material and Method : This Randomized Controlled Trial that collected data from prostate cancer patients who underwent orchiectomy in our institution. Patients were randomly divided into two groups; SA and SCB. Data was collected on intraoperative pain score, 1 hour post-surgery, Morphine consumption during 6 and 12 hour after surgery and complications. All data was statistically analyzed using Independent t-test and Fisher's ...

Gender

MALE

Eligibility criteria

• Inclusion Criteria:
• • Patients of all ages diagnosed with prostate cancer undergoing treatment with bilateral orchiectomy
• Exclusion Criteria:
• • 1. Patients with a history of Xylocaine allergy.
• • 2. Patients with uncorrected bleeding disorders.
• • 3. Patients with paralysis or neurosensory deficits
• • 4. Patients with dementia or cerebrovascular accidents (strokes) that impair communication.
• 5. Patients with contraindications for epidural anesthesia, including:
• • Patient refusal of spinal anesthesia.
• • Infection at the site of spinal injection.
• • Allergy to specific types of local anesthetics, such as Hyperbaric bupivacaine.
• • Inability of the patient to cooperate with the spinal anethetic procedure.
• • Suspicion of high intracranial pressure based on abnormal physical examination.
• • Aortic stenosis with fixed cardiac output.
• • Low platelet count.