Abstract
Background: Currently, abdominoplasty is experiencing a surge in popularity both internationally and nationally due to the procedure is a safe and effective way to treat obesity and associated comorbidities, which in turn improves the quality of life of those who undergo it. This study was aimed at determining and investigating in the complexity of the anesthesia impact on patients who underwent tummy tuck procedures. Patients and methods: Clinical data were collected for 86 patients who underwent tummy tuck surgery from different hospitals in Iraq, where the ages of the patients ranged between 25 - 55 years. The surgical data was divided into two groups: where group A included 43 patients who had surgery under spinal anesthesia, and Group B was the group of patients who had tummy tuck surgery under general anesthesia and included 43 patients. Clinical examinations and measurements of the patient's pain rate and quality of life were performed. Furthermore, this study compared both anesthesias to determine the prevalence of complications and their impact on patients' postoperative health. Results: Our study enrolled surgical data of patients, which found that females had more participants with 52 cases than males with 34 cases, patients with a BMI (27.5 – 30.8) had 25 cases, and patients with BMI > 30.8 included 45 cases. According to the GA group, surgical duration was 184.85 ± 27.45 min, anesthesia time (min) was 188.65 ± 30.54, hypotension (<90/60 mmHg) was 3 cases, bradycardia (HR <50 beat/min) was 4 cases, NOV% was no cases, length of stay in hospital was 0.8 ± 0.13 days, postoperative complications were 28 cases. According to the SA group was, surgical duration was 189.17 ± 26.38 min, anesthesia time (min) was 198.46 ± 27.58, hypotension (<90/60 mmHg) was 8 cases, bradycardia (HR <50 beat/min) was 6 cases, NOV% was 15 cases, length of stay in hospital was 1.8 ± 0.25 days, postoperative complications were 15 cases. Conclusion: The current study showed that spinal anesthesia is considered the most effective and high-quality solution in the surgical procedure for abdominal tightening operations in the clinic due to the fewer complications associated with it than general anesthesia