Laparoscopic Sterilization Under Local Anesthesia with Conscious Sedation Versus General Anesthesia: Systematic Review of the Literature

Huppelschoten, Aleida G.; Bijleveld, K; Braams, Loes; Schoot, Benedictus C.; Vliet, Huib A.A.M. van

doi:10.1016/j.jmig.2017.11.010

Cited by 11 publications

(11 citation statements)

References 21 publications

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“…48 Nonetheless, a benefit was observed in favor of LA and IV sedation with respect to recovery time, patient complaints of sore throat and patient's satisfaction. 48 The safety and efficacy of LA was also highlighted in the study by Reinders et al 49 which reviewed the application of various LA modalities in terms of intracervical, paracervical and intrauterine injections in controlling pain during endometrial ablation. The combination of the three LA techniques was associated with significantly improved pain scores.…”

Section: Discussionmentioning

confidence: 91%

Pelvic floor reconstructive surgery under local anesthesia: A systematic review and meta‐analysis

Zacharakis

Prodromidou

Douligeris

et al. 2021

Neurourology and Urodynamics

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Aims: The decision on the appropriate type of anesthesia for pelvic floor repair depends on a variety of factors including patients' age, performance status, comorbidities, cost-effectiveness and personal preferences. We aim to review the literature on urogynecological procedures performed under local anesthesia (LA).Methods: A systematic search of four electronic databases was conducted for articles published up to May 2020. Studies reporting outcomes of women who underwent pelvic floor reconstructive surgery under LA with or without sedation, were considered eligible.Results: Nineteen studies (14 noncomparative and 5 comparative), including 1626 cases of urogynecological procedures under LA were recruited. Metaanalysis revealed significantly lower mean pain scores in LA group compared to general-regional anesthesia one (GA/RA) at both 4-6 h and 8-18 h postoperatively (160 patients; mean difference [MD], −1.70; 95% confidence interval [CI]: −3.12, −0.28; p = 0.02 and 160 patients; MD, −0.72; 95% CI: −1.17, 0.27; p = 0.002, respectively). Pain scores at >24 h did not differ among the two groups (160 patients; MD, −0.28; 95% CI: −0.60-0.05; p = 0.10). Intra-and postoperatively morphine use was not different among patients who received LA and GA during prolapse surgery while nausea rates were significantly lower in LA group compared to RA group 8 h postoperatively. Conclusions: LA with or without sedation represents a safe and efficient alternative anesthetic technique for urogynecological procedures with improved pain scores in up to 18 h postoperatively especially in patients who underwent surgery for SUI. LA is feasible and could be offered to patients undergoing pelvic floor surgery allowing a prompt postoperative recovery.

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Section: Discussionmentioning

confidence: 91%

Pelvic floor reconstructive surgery under local anesthesia: A systematic review and meta‐analysis

Zacharakis

Prodromidou

Douligeris

et al. 2021

Neurourology and Urodynamics

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“…Recently, a systematic review compared laparoscopic sterilization under LA with conscious sedation versus GA, showed that both anesthetic techniques were comparable regarding operation times, postoperative pain, and complications. Furthermore, LA with conscious sedation offered better results in respect to terms of recovery times, patient sore throat complaints as well as patient recovery and satisfaction compared with GA [9].…”

Section: Mini Reviewmentioning

confidence: 95%

“…For example, more specialized and small sized instruments for laparoscopic surgery have been introduced nowadays, which might affect the outcome. As well as, the drugs used for anesthesia and sedation in some studies were different from the drugs used today [9]. New researches concerning this issue are required to optimally advise our patients about the best anesthetic technique they can choose for a laparoscopic intervention.…”

Section: Mini Reviewmentioning

confidence: 99%

Minimally Invasive Gynecological Surgery under Local Anesthesia

Altraigey

2019

JAICM

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“…In addition to new surgical techniques and devices for permanent contraception, novel anesthesia approaches could improve access to permanent contraception procedures. A 2018 review of anesthesia techniques used during laparoscopic permanent contraception procedures found similar rates of complications, operating times, and postoperative pain levels when comparing general anesthesia to local anesthesia with conscious sedation [60].…”

Section: New Methods In Developmentmentioning

confidence: 99%

Update on Permanent Contraception for Women

Alton

Jensen

2018

Curr Obstet Gynecol Rep

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Purpose of ReviewWe completed this review to update readers on the current literature and controversies surrounding different approaches to permanent female contraception. Recent FindingsPermanent contraception continues to be a popular method of pregnancy prevention. The withdrawal of the Essure® hysteroscopic approach to permanent contraception from the US market and the increased use of salpingectomy to decrease risk of ovarian cancer have changed options available to women. Current studies support allowing adult women who desire no future pregnancies to access permanent contraception regardless of age, parity, or marital status. Permanent contraception may offer particular benefit to women with complex medical issues, and those who decline hormonal contraception or intrauterine devices. We also discuss the development of new methods of permanent contraception, including the FemBloc® system and polidocanol foam.

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Laparoscopic Sterilization Under Local Anesthesia with Conscious Sedation Versus General Anesthesia: Systematic Review of the Literature

Cited by 11 publications

References 21 publications

Pelvic floor reconstructive surgery under local anesthesia: A systematic review and meta‐analysis

Pelvic floor reconstructive surgery under local anesthesia: A systematic review and meta‐analysis

Minimally Invasive Gynecological Surgery under Local Anesthesia

Update on Permanent Contraception for Women

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