Dr Sudha P
Associate Professor in Anaesthesiology at Regional Cancer Centre, Trivandrum, Kerala, India
Dr Sudha P is an Associate Professor in Anaesthesiology at Regional Cancer Centre, Trivandrum, Kerala, India
She has Post graduate Degree (M.D) and Diploma in Anaesthesiology (DA),Post Graduate diploma in Health and Hospital Administration (PGDHHA) and degree of Master of Hospital Administration(MHA), from the University of Kerala, India
Her Areas of professional Interest are Pain management, Regional Anaesthesia, Nerve Blocks, and Hospital Management. She was awarded UICC: ICRETT fellowship thrice for doing projects in MD Anderson Cancer Centre, Houston, Texas, Memorial Sloan Kettering Cancer Centre, Newyork and TJ Samson Community Hospital, Glasgow, Kentucky.
She has publications in reputed Indian and International journals
Background: Numerous factors affect the risk of recurrence and metastasis after cancer surgery. Studies have observed that anaesthetic techniques have effects on tumour recurrence.
Methods: Medical records of newly diagnosed ovarian serous adenocarcinoma patients who underwent radical hysterectomy with bilateral salpingoopherectomy from 1995-2008 were analysed for the effect of anaesthetic techniques and drugs on tumour recurrence & metastasis free survival rate and mortality rate. Univariate association between overall survival and anaesthesia technique was assessed using Kaplan-Meier survival estimates and Cox regression. Multivariate association was tested after adjusting potential confounding factors.
Results: The overall survival rate (RR at 95% CI=3.16(1.79-5.60) was significantly better in patients who received regional anaesthesia for surgery than those who had general anaesthesia. Other factors significantly associated with overall survival rate in univariable analysis were,perioperative blood transfusion,preoperative Ca 125 level, FIGO stage, tumour size and lymphatic metastasis.Kaplan Meier survival curve showed that regional anesthesia group had higher overall survival rate.Recurrence rate did not show significant difference in univariable(Odds 95% CI 1.42 P = 0.273)and multivariable(Odds 95% CI = 0 P = 0.846) analysis.Al1the 18 patients who had metastasis underwent surgery under GA.
Conclusions: This study showed marked increase in overall survival rate in patients who underwent surgery under regional anaesthesia when compared to those who had surgery under general anaesthesia. Prospective randomized control trials are needed for better evaluation.