Evaluation of the Effects of Anesthesia Method Applied to Patients Undergoing Sleeve Gastrectomy Surgery on Perioperative Enhanced Recovery After Surgery (ERAS)

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Introduction/Purpose: Sleeve gastrectomy has become a popular method of bariatric surgery. To accelerate recovery after surgery plays an important role in reducing the morbidity rates of these patients. This article aims to examine the effects of the use of different anesthesia methods on enhanced recovery after surgery (ERAS) protocols in patients undergoing laparoscopic sleeve gastrectomy. Materials and Methods: This retrospective observational study included 60 patients who underwent laparoscopic sleeve gastrectomy. Patients were divided into two groups as those who received sevoflurane + dexmedetomidine (Group 1) and those who received desflurane + dexmedetomidine (Group 2). The patients’ intraoperative spirometric parameters, perioperative hemodynamic parameters, the amount of anesthetic agents used, postoperative recovery, and nausea-vomiting characteristics were compared. Results: It was observed that the amount of anesthetic used and its cost were significantly less in Group 1 ( p = 0.000 and p = 0.001, respectively). The intraoperative dexmedetomidine requirement was observed to be significantly low in Group 1 ( p = 0.006). In Group 1, the change in compliance with insufflation was significantly high, but no significant difference was observed in perioperative quality. Conclusion: In this study, we concluded that sevoflurane used for the maintenance of anesthesia in patients undergoing laparoscopic sleeve gastrectomy may have a significant effect on ERAS protocols by reducing the cost of intraoperative inhalation agents and the consumption of dexmedetomidine.

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