At the moment , the evidence available can not prove that neuraxial anesthesia is more effective and safer than general anesthesia for urological surgery .
There were insufficient data to pool the results relating to mortality , stroke , myocardial infa rct ion , length of hospitalization , quality of life , degree of satisfaction , postoperative cognitive dysfunction and blood transfusion requirements
CONTEXT AND OBJECTIVE Choosing the best anesthetic technique for urological surgery with the aim of mortality reduction remains controversial .
The objective here was to compare the effectiveness and safety of neuraxial anesthesia versus general anesthesia for urological surgery .
Intraoperative blood loss during radical retropubic prostatectomy: epidural versus general anesthesia.
OBJECTIVES There are conflicting reports on the influence of different anesthetic techniques , such as regional versus general anesthesia , on intraoperative blood loss . The purpose of this study was to eluci date the effects of anesthetic technique on intraoperative blood loss in men undergoing radical retropubic prostatectomy ( RRP ) . METHODS One hundred patients undergoing RRP for prostate cancer were r and omly assigned to receive either epidural anesthesia ( EA ) , combined epidural and general anesthesia ( EG ) , or general anesthesia alone ( GA ) .  Intraoperative blood loss was calculated by using a formula that accounted for the volume and hematocrit of the fluid suctioned from the surgical field , blood absorbed on surgical pads , and the patient 's hematocrit . RESULTS Mean blood loss in the EA group ( 1490 + /- 90 mL ; mean + /- SEM ) was significantly less than mean blood loss in both the EG group ( 1810 + /- 100 mL ) and the GA group ( 1940 + /- 130 mL ) ( P = 0.01 ) . Blood loss was not different between the EG and the GA groups ( P = 0.7 ) . Significantly less blood was transfused during surgery in the EA group ( 730 + /- 50 mL ) compared with the EG ( 960 + /- 60 mL ) and GA ( 950 + /- 70 mL ) groups ( P = 0.02 ) . CONCLUSIONS Similar blood loss in patients receiving general anesthesia , either alone or when combined with epidural anesthesia , implies that epidural anesthesia did not reduce bleeding , but , rather , that general anesthesia increased blood loss
At the moment , the evidence available can not prove that neuraxial anesthesia is more effective and safer than general anesthesia for urological surgery .
There were insufficient data to pool the results relating to mortality , stroke , myocardial infa rct ion , length of hospitalization , quality of life , degree of satisfaction , postoperative cognitive dysfunction and blood transfusion requirements
CONTEXT AND OBJECTIVE Choosing the best anesthetic technique for urological surgery with the aim of mortality reduction remains controversial .
The objective here was to compare the effectiveness and safety of neuraxial anesthesia versus general anesthesia for urological surgery .