Regional Anesthesia for Laparoscopy

Collins, Linda M.; Vaghadia, Himat

doi:10.1016/s0889-8537(05)70210-8

Cited by 58 publications

(46 citation statements)

References 28 publications

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“…Meanwhile, all of the patients in the OPEN group received general anesthesia. Regional anesthesia has several advantages: quicker recovery, decreased postoperative nausea and vomiting, less postoperative pain, shorter postoperative stay, cost effectiveness, improved patient satisfaction, overall safety, early diagnosis of complications, and fewer hemodynamic changes [10,11] . The sequelae of general anesthesia, such as sore throat, muscle pain, and airway trauma, can be avoided.…”

Section: Safety Of Mini-laparoscopymentioning

confidence: 99%

Diagnostic value of mini-laparoscopy in patients with abdominal neoplasm

Wang

Chen

2011

Chin. J. Cancer Res.

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Objective: Blood biochemistry, ascites tests, and imaging examinations have low sensitivities in abdominal neoplasm diagnoses. In addition, exploratory laparotomy is not suitable for final stage patients. Mini-laparoscopy has recently emerged as a new diagnostic technology for abdominal disease. The aim of this research was to evaluate the value of mini-laparoscopy in diagnosing abdominal neoplasms.Methods: Clinical and operational data were retrospectively analyzed in 20 cases with pathologically confirmed abdominal malignancies. Of these, 10 cases were each diagnosed by mini-laparoscopy and exploratory laparotomy. The surgical and anesthesia expenses, perioperative nursing, monitoring and treating charges, postoperative hospital stay and complications were compared between groups.Results: The surgical and anesthesia costs were statistically lower in patients who received a mini-laparoscopy (P<0.01). Perioperative drug expenses and nursing and monitoring charges were also significantly decreased (P<0.05 and P<0.01, respectively). Further, the gastrointestinal function recovery time and postoperative hospital stay were significantly reduced in the mini-laparoscopy group. There was no significant difference between the two groups regarding the preoperative hospital stay and postoperative complications.Conclusion: Mini-laparoscopy effectively reduces surgical injury and treatment costs, and is capable of safely diagnosing abdominal tumors. Moreover, the procedure is also easy to perform.

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Section: Safety Of Mini-laparoscopymentioning

confidence: 99%

Diagnostic value of mini-laparoscopy in patients with abdominal neoplasm

Wang

Chen

2011

Chin. J. Cancer Res.

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“…Although laparoscopy in the awake patient appears to be tolerated well, shoulder pain may be a significant intraoperative problem, which may be reduced by producing pneumoperitoneum with N 2 O rather than CO 2 . 2,15 Of note, N 2 O supports combustion and may increase the risk of fire and explosion when used with electrocautery.…”

Section: Pulmonary Changesmentioning

confidence: 99%

Anesthesia for laparoscopic surgery

Joshi

2002

Can J Anesth/J Can Anesth

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“…5 spinal and epidural anesthesia individually, and combination of the two, are suitable as anesthetic technique for laparoscopy. 6 Spinal anesthesia is a less invasive anesthetic technique. It has lower morbidity and mortality rates compared with general anesthesia.…”

Section: Introductionmentioning

confidence: 99%

“…It also provides an uneventful postoperative recovery. 6 Routine postoperative care consists of adequate monitoring of vital parameters. This includes continuous monitoring of peripheral oxygen saturation, respiratory rate, ECG, blood pressure measurement, heart rate and regularity.…”

Section: Introductionmentioning

confidence: 99%

Spinal anesthesia in laparoscopy for infertility

Nijhawan¹,

Shembekar²,

Upadhye³

2018

Int J Adv Med

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Background: Spinal anesthesia in laparoscopy for infertility is coming up as a safe and effective alternative to general anesthesia with endotracheal intubation. This retrospective study was undertaken to evaluate the efficacy of spinal anesthesia in laparoscopy for infertility.Methods: In this retrospective observational study, a total of 100 patients had laparoscopic procedure done during the period January 2017 to December 2017 and were included in the study. Laparoscopic surgeries were performed under general anesthesia.Results: In our study of 60 patients, 30 (50%) patients underwent diagnostic laparoscopy and 30 (50%) patients underwent operative laparoscopy. Additional analgesia was required in 20 (33.33%) of patients. These patients either had longer operative time for more lengthy procedures or were more anxious. 55 (91.66%) patients were discharged from the hospital in less than 12 hours, 1 (1.66%) patient was discharged within 24 hours while 4 (6.66%) patients were discharged after 24 hours in whom lengthy procedures were performed. Post spinal headache was seen in 22 (36.33%) patients, nausea and vomiting in 20 (33.33%) patients, hypotension in 18 (30%) patients. Conversion to general anesthesia was needed in 3 (5%) patients due to longer operative time.Conclusions: Spinal anesthesia in laparoscopy for infertility is a safe and effective alternative to general anesthesia with endotracheal intubation.

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Regional Anesthesia for Laparoscopy

Cited by 58 publications

References 28 publications

Diagnostic value of mini-laparoscopy in patients with abdominal neoplasm

Diagnostic value of mini-laparoscopy in patients with abdominal neoplasm

Anesthesia for laparoscopic surgery

Spinal anesthesia in laparoscopy for infertility

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