Özet:

Introduction: Lomber disk hernia surgery is one of the frequent surgery in brain surgery practice and is often performed under general anesthesia. Spinal anesthesia, an alternative method for general anesthesia, has many advantages as it can be applied in all spinal surgery. In our clinic, we aimed at comparing the effectiveness of the different methods of anesthesia applied in lombary disc hernia surgery. Methods: This study was carried out in anesthesiology and rehabilitation clinic after receiving hospital management approval. In our clinic between March 2017 and July 2019, 234 ASA I-III patients, who were selectively operated under spinal or general anesthesia due to lombary disc hernia, were examined retrospectively from 18 to 70 years old. The demographic data of the patients, the duration of the surgery, the time of initial mobilization, the number of patients performed by the ephedrin, postoperative decketorophen consumption, postoperative tramadol consumption, herniation levels, the success rate of the spinal anesthesia block and the number of patients developing post-spinal headaches, hemodynamic parameters, complications developing immediately or after the operation were recorded. In total, 234 patients were included in the study. Of these patients, 212 had spinal anesthesia, and 22 were under general anesthesia. 3 patients have post-spinal headaches developed. Postoperative first analgesic need time, total decketorophen consumption, total tramadol consumption and surgery time were found significantly lower in the spinal anesthesia group. The result: While spinal anesthesia in the Lomber disk surgery provides an effective, safe and good postoperative pain comfort, we believe that it can be used more widely in single-level herniations where the long duration of the surgery is expected.

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