Results Evaluation of the Effect of Anesthesia on Plastic Surgery

Abstract

Background: The advancements in plastic surgery, in conjunction with the development of anaesthesia, have enabled the fulfilment of almost all the desired outcomes of those seeking such procedures. Objective: This study was analysed and assessed for overall clinical outcomes which were associated with the role of anesthesia in plastic surgery. Patients and methods: The current study focused on evaluating the clinical outcomes of individuals participating in rhinoplasty under local anesthesia and general anesthesia, whose ages ranged between 25-40 years, and which included 70 patients from different hospitals in Iraq for a period from February 6, 2022, to August 25, 2023. This study compared the results of anesthesia techniques for general anesthesia, sedation, and local anesthesia on patients during and after surgery in terms of surgery time, anesthesia time, rate of pain and complications, quality of anesthesia, patient satisfaction rate, and quality of life for patients after surgery. Results: Comparing anesthesia techniques, our study recorded the clinical outcomes of patients during surgery in terms of operative time was 192.04 ± 36.51, duration of anesthesia was 207.13 ± 38.56, heart rate was 82.15 ± 34.67, systolic blood pressure was 110.58 ± 35.12, diastolic blood pressure was 76.43 ± 11.54, and The number of bleeding cases was 8, the number of deaths was 5, the rate of complications after surgery for patients under general anesthesia was 11, the rate of pain for patients after surgery in the first month was 6.6 ± 1.5 and in the seventh month it was 0.78 ± 0.35, the quality of life of patients recorded in the physical aspect was 66.20 ± 5.73. As for the emotional aspect, it was 58.17 ± 7.42.

On the contrary, the results of the general anesthesia group showed better improvements compared to general anesthesia in terms of operation time 172.51 ± 26.82, duration of anesthesia 190.32 ± 28.12, heart rate 85.35 ± 7.42, systolic blood pressure was 84.32 ± 10.57, and diastolic blood pressure was 67.15 ± 5.78. The number of bleeding cases was 2, the rate of complications after surgery for patients under local anesthesia was 4, the pain rate in the first month was 4.2 ± 0.5, while in the seventh month, it was 2.56 ± 0.85, the physical aspect was 83.68 ± 3.85, and the emotional aspect was 83.31 ± 9.55. Conclusion: Local anesthesia provides high success rates in rhinoplasty, which has the advantages of lower rates of pain, bleeding, and mortality during surgery, which results in a high satisfaction rate compared to general anesthesia.