Feasibility of Resectoscopic Operative Hysteroscopy in a UK Outpatient Clinic Using Local Anesthetic and Traditional Reusable Equipment, With Patient Experiences and Comparative Cost Analysis

Perioperative costs of local or regional anesthesia versus general anesthesia in the outpatient setting: a systematic review of recent literature

“…Finally, 28 studies including 27,581 patients were identified as potentially relevant and were selected for the systematic review. 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 All of the included studies were published in English. These studies covered the period from January 2000 to May 2021.…”

“…The sample size of the included studies ranged from 20 to 14,713 adults who underwent various medical procedures under general and local or regional anesthesia in an outpatient setting. General anesthesia was compared to local anesthesia in 15 studies, 10 , 13 , 14 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 27 , 30 , 33 to spinal anesthesia in 7 studies, 12 , 15 , 25 , 31 , 32 , 34 , 35 and to both in 5 studies. 26 , 28 , 29 , 36 , 37 Medical procedures were different and included laryngoplasty, knee arthroscopy, biopsy, hernia repair, hysteroscopy, and others.…”

Parenterally Administered Moderate Sedation and Paracervical Block Versus General Anesthesia for Hysteroscopic Polypectomy: A Pilot Study Comparing Postoperative Outcomes

“…With the safe help of local anesthesia, operative hysteroscopy could be moved to an outpatient setting, avoiding some problems [5,21,22]. Effectively, this kind of gynecologic intervention is often fixed at the end of an operating list or between 2 major operations, which consequently leads to frequent delays or cancellation, bothering both patients and operators.…”

Office Hysteroscopic Treatment of Uterine Fibroids

“…The traditional resectoscope has also been used for the resection of fibroids in the outpatients [9]. This approach requires dilatation of the cervix to 8-10 mm, depending on the resectoscope used, under local anaesthesia followed by resection of the fibroid using the traditional resection technique.…”