Combined Spinal-Epidural Anesthesia in Hysterectomy for Elderly Gynecological Patients with Concomitant Cardiovascular Pathology

Sh.M. Valiev; Z.T. Gaziev

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Sh.M. Valiev Tashkent State Medical University
Z.T. Gaziev Tashkent State Medical University

Vol. 3 No. 8 (2025): International Journal of Integrative and Modern Medicine

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August 5, 2025

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Elderly gynecological patients with concomitant cardiovascular pathology represent a high-risk population during surgical interventions due to limited hemodynamic reserves and increased sensitivity to anesthetic stress. Optimizing anesthetic strategies for this cohort is essential to minimize perioperative complications. Objective: This study aimed to evaluate the effects of combined spinal-epidural anesthesia (CSEA) on systemic and central hemodynamics, as well as its safety and efficacy, in elderly patients undergoing gynecological surgery.

Sh.M. Valiev, & Z.T. Gaziev. (2025). Combined Spinal-Epidural Anesthesia in Hysterectomy for Elderly Gynecological Patients with Concomitant Cardiovascular Pathology. International Journal of Integrative and Modern Medicine, 3(8), 16–19. Retrieved from https://medicaljournals.eu/index.php/IJIMM/article/view/2029

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1. Ahmadov, I.B. & Karimov, Sh.N. (2020). Two segment combined spinal epidural anesthesia in abdominal delivery. Journal of Clinical Anesthesiology, (4), 32–36.

2. Antipin, E.E. et al. (2013). Early multimodal rehabilitation following abdominal hysterectomy: effects on the postoperative period. Anesthesiology and Resuscitation, (6), 37–40.

3. Matlubov, M.M., Rakhimov, A.U. & Semenikhin, A.A. (2010). Combined spinal epidural anesthesia in abdominal delivery. Anesthesiology and Resuscitation, (6), 71–73.

4. Liu, Y., He, S., & Zhou, S. (2021). Effect of general anesthesia combined with epidural anesthesia on circulation and stress response in patients undergoing hysterectomy. American Journal of Translational Research, 13(5), 5294.

5. Chen, L., Zhang, Y., & Wu, H. (2021). Effects of combined anesthesia techniques on perioperative hemodynamics and stress response in elderly gynecological patients. Anesthesia & Clinical Research, 35(2), 114–120.

6. Begum, S.A. et al. (2020). Effects of combined spinal epidural anaesthesia and spinal anaesthesia on peri operative pulmonary status in geriatric patients undergoing lower extremity surgery. Journal of Biosciences and Medicines, 8, 132–147.

7. NYSORA. (n.d.). Regional anesthesia and cardiovascular disease: physiological effects. Retrieved from nysora.com

8. Movasseghi, S. et al. (2024). Comparative analysis of CSEA vs general anesthesia with regard to hemodynamic profile: recent evidence. Uro Oncology Journal. Retrieved from link.springer.com

9. El Deeb, A. (2014). Thoracic epidural anesthesia improves outcomes after cardiac surgery in elderly patients. Saudi Journal of Anaesthesia. Retrieved from pmc.ncbi.nlm.nih.gov

10. Springer et al. (2024). CSEA as viable alternative with favorable hemodynamics in high risk elderly surgical patients. Urology and Transplantation Reports. Retrieved from link.springer.com

11. Wikipedia. (2024). Combined spinal and epidural anaesthesia: technique and benefits. Retrieved from en.wikipedia.org

12. Outcomes Research Consortium. (2023). Postoperative myocardial injury after noncardiac surgery: implications for elderly patients. Retrieved from en.wikipedia.org

13. Scopus/PMC. (2023). The effect of thoracic epidural analgesia on short term outcomes in open heart surgery for elderly patients. Ulus Travma Acil Cerrahi Derg, 28(3), 382–389.

14. LWW Journals. (2020). Epidural volume extension to reduce hypotension in elderly patients. British Journal of Anaesthesia, 125(4), 612–620.

15. Sciencedirect. (2024). Impact of spinal or epidural anaesthesia on perioperative outcomes: narrative review 2018–2023. Anaesthesia Review Journal. Retrieved from sciencedirect.com

16. Scopus/PMC. (2022). CSEA in patients with severe preeclampsia: hemodynamic improvements in obstetric surgery. Journal of Reproductive Medicine. Retrieved from pmc.ncbi.nlm.nih.gov

17. MSJ Online. (2018). Comparative efficacy of combined epidural anesthesia in attenuating hemodynamic stress. International Journal of Research in Medical Sciences. Retrieved from msjonline.org

International Journal of Integrative and Modern Medicine

Combined Spinal-Epidural Anesthesia in Hysterectomy for Elderly Gynecological Patients with Concomitant Cardiovascular Pathology

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