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Comparing the Quality of Patient Recovery After Open Appendectomy Under General Versus Spinal Anesthesia: Prospective
Negesse Zurbachew Gobezie1, Temesgen Birlie Asmare1, Kumlachew Geta Belete1
1Department of Anesthesia, School of Medicine, College of Health Science, Debre Tabor University, P.O. Box 272, Debre Tabor, Ethiopia.
JMIR Perioperative Medicine
|June 25, 2026
Summary
Spinal anesthesia improves postoperative recovery after open appendectomy compared to general anesthesia. Patients experienced better quality of recovery, less pain, and faster mobilization with spinal anesthesia.
Area of Science:
- Anesthesiology
- Surgical Outcomes
- Patient Recovery
Background:
- Open appendectomy is a common surgical procedure.
- Anesthesia choice significantly impacts postoperative recovery quality.
- General and spinal anesthesia are primary options for open appendectomy.
Purpose of the Study:
- To compare the effects of general versus spinal anesthesia.
- To evaluate immediate postoperative quality of recovery in adults undergoing open appendectomy.
- To determine the optimal anesthesia technique for improved patient outcomes.
Main Methods:
- Prospective cohort study with 74 adult patients.
- Patients allocated to general anesthesia (n=37) or spinal anesthesia (n=37).
- Primary outcome: Quality of Recovery-15 score at 24 hours postoperatively.
Main Results:
- Spinal anesthesia group showed significantly higher Quality of Recovery-15 scores (P=.001).
- Reduced postoperative pain, analgesic consumption, and nausea/vomiting incidence with spinal anesthesia (P<.001).
- Faster mobilization, oral intake, and shorter hospital stay observed in the spinal anesthesia group (P<.001).
Conclusions:
- Spinal anesthesia is preferred for open appendectomy.
- Offers improved postoperative recovery, pain management, and analgesia.
- Reduces complications and enhances intrahospital patient recovery trajectories.
