Opinion paper: gynecological surgery in local anesthesia?

Neis, Felix; Wallwiener, D.; Henes, Melanie; Krämer, B.; Brucker, Sara Y.

doi:10.1007/s00404-022-06572-7

Cited by 5 publications

(4 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Существует множество вариантов описания применения инфильтративной анестезии при проведении операций у животных [25][26][27]. Зарубежные источники разных лет содержат информацию о сравнении местной и общей анестезии при проведении гистероскопии, мануальной вакуумной аспирации полости матки, биопсии тканей репродуктивных органов и даже лапароскопии [10,[28][29][30][31][32][33][34][35][36][37][38]. Безусловно, в работах, посвященных применению местной анестезии при лапароскопии, описана эффективность комбинированных методов обезболивания -по данным М. Сугихара и др.…”

Section: результаты и обсуждениеunclassified

“…Операции под общим обезболиванием несут в себе большие риски для здоровья пациента, требуют соответствующего оснащения операционной, дополнительных кадров в бригаде [5][6][7][8]. Это послужило толчком для активного распространения технологий местного обезболивания в акушерско-гинекологическом сообществе [9,10].…”

Section: Introductionunclassified

See 1 more Smart Citation

Local Anesthesia During Operations on the Cervix, Vagina, and Vulva

Rosyuk

2024

Урал. мед. журнал

View full text Add to dashboard Cite

Introduction. Operations under general anesthesia carry risks to the patient’s health, require appropriate equipment of the operating room, additional personnel in the team. This was the impetus for the active dissemination of local anesthesia technologies in the obstetric and gynecological community. The purpose of the study is to determine the current state of the issue of the use of local anesthesia in gynecology in outpatient settings during operations on the cervix, vagina and vulva.Materials and methods. Publications freely available from databases were used to prepare the work еLibrary.Ru, PubMed, in Russian and foreign specialized journals on obstetrics and gynecology, anesthesiology, textbooks, the predominant period of publication 2016–2023.Results and discussion. In the XIX century, scientists actively worked on the issue of finding an effective anesthetic and a method of anesthesia, the XX century shows that research continued in the direction of identifying the safest drug for anesthesia. In the XXI century, an obstetrician-gynecologist has a huge arsenal of anesthesia techniques, in which it is enough only to choose those techniques that can be used effectively, safely and financially affordable in his medical institution. The literature review shows the high efficiency of infiltration anesthesia during cervical biopsy, excision and conization, as well as a reduction in the number of complications associated with anesthesia. At the same time, for a small volume cervical biopsy, application anesthesia (10% lidocaine aerosol) can be used, but for conization with curettage of the cervical canal (and maybe even with aspiration biopsy), regional anesthesia (paracervical blockade) can be used — the technique of which is described in detail. Local anesthesia of the vagina can be performed using both infiltrative and application anesthesia. Local anesthesia of the vulva is replete with information about the widespread use, effectiveness and safety of application methods of anesthesia, not only in diagnosis, but also for the purpose of treatment.Conclusion. Despite the wide variety of techniques of local anesthesia, as well as the exclusion of adverse events associated with anesthesia, any obstetrician-gynecologist should understand that local anesthesia can also lead to various complications, and be ready to eliminate them.

show abstract

Section: результаты и обсуждениеunclassified

Section: Introductionunclassified

Local Anesthesia During Operations on the Cervix, Vagina, and Vulva

Rosyuk

2024

Урал. мед. журнал

View full text Add to dashboard Cite

show abstract

“…In addition, limited operating room weldings (operating theater, anesthesia team, etc.) in times of the coronavirus pandemic make it sensible to perform operations without the need for an anesthesia team (anesthesiologist and nurse) 8 . However, under LA, if the patient moves during the procedure, it is very difficult for the surgeon to perform the procedure accurately.…”

mentioning

confidence: 99%

“…in times of the coronavirus pandemic make it sensible to perform operations without the need for an anesthesia team (anesthesiologist and nurse). 8 However, under LA, if the patient moves during the procedure, it is very difficult for the surgeon to perform the procedure accurately. This may result in same rare complications such as vaginal wall or bladder wall lacerations (0.1%) and burns (0.4%).…”

mentioning

confidence: 99%

Influence of General and Local Anesthesia on Postoperative Pain After a Loop Electrosurgical Excision Procedure

Güngördük,

Türkmen,

Gülseren

et al. 2023

J Low Genit Tract Dis

View full text Add to dashboard Cite

Objective: To compare patient satisfaction, histopathologic results, and short-term morbidity in patients undergoing loop electrosurgical excision procedure (LEEP) under local anesthesia (LA) versus general anesthesia (GA).Methods: Participants who met the inclusion criteria were randomly allocated in a 1:1 ratio to the LA group or GA group. Pain was determined by both objective (faces pain scale-revised) and subjective (visual analog scale score) methods.Results: Data from 244 patients (123 in the LA group and 121 in the GA group) were analyzed. The median cone volume was 2.0 (0.4-4.7) cm 3 in the LA group and 2.4 (0.3-4.8) cm 3 in the GA group. There was no difference in margin involvement or repeat conization between the groups. The procedure time, time to complete hemostasis, intraoperative blood loss, and early postoperative blood loss were similar between the groups. The visual analog scale scores were higher in the LA group at 1, 2, and 4 hours postoperatively, but the differences between the groups were not significant. In addition, the median faces pain scale-revised scores at 1, 2, and 4 hours postoperatively were not significantly different between the LA and GA groups. Conclusions:The present study showed no difference in pain during the postoperative period, need for additional analgesia, volume of the extracted cone specimens, rate of positive surgical margin, bleeding volume, or operation time in women undergoing loop electrosurgical excision procedure under LA versus GA.

show abstract

Regional Nerve Blocks for Minor Obstetrics and Gynaecological Procedures

Rani,

Prasad

2024

Steps to Successful Regional Anesthesia

View full text Add to dashboard Cite

Opinion paper: gynecological surgery in local anesthesia?

Cited by 5 publications

References 23 publications

Local Anesthesia During Operations on the Cervix, Vagina, and Vulva

Local Anesthesia During Operations on the Cervix, Vagina, and Vulva

Influence of General and Local Anesthesia on Postoperative Pain After a Loop Electrosurgical Excision Procedure

Regional Nerve Blocks for Minor Obstetrics and Gynaecological Procedures

Contact Info

Product

Resources

About