Usefulness of epidural anesthesia in gynecologic laparoscopic surgery for infertility in comparison to general anesthesia

Kuramochi, K; Osuga, Yutaka; Yano, Tetsu; Momoeda, Mikio; Fujiwara, Toshihiro; Tsutsumi, Osamu; Tamai, Hisayoshi; Hanaoka, Kazuo; Koga, Kaori; Yokosuka, Osamu; Taketani, Yuji

doi:10.1007/s00464-003-8227-5

Cited by 12 publications

(3 citation statements)

References 16 publications

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“…Nevertheless, the standard deviation was not informed. 16 It was observed that there was significant statistical heterogeneity (I² = 96%; X 2 = 26.16; P = 0.00001). It was not possible to identify the source of heterogeneity.…”

Section: Degree Of Satisfactionmentioning

confidence: 95%

Neuroaxial anesthesia for gynecological surgeries: meta-analysis

Cajaiba

Reis

Ribeiro³

et al. 2018

Rev. Assoc. Med. Bras.

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Section: Degree Of Satisfactionmentioning

confidence: 95%

Neuroaxial anesthesia for gynecological surgeries: meta-analysis

Cajaiba

Reis

Ribeiro³

et al. 2018

Rev. Assoc. Med. Bras.

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“…[6][7][8][9] The potential mechanism for pain reduction with regional anesthesia maybe residural analgesia and/or preemptive analgesia, a pharmacologic blockade of the somatosensory pathways before surgical incision.…”

Section: Discussionmentioning

confidence: 99%

Thoracic epidural anesthesia for gas-free trans-umbilical single port laparoscopic cholecystectomy: a case report

Zhao

et al. 2016

Int Surg J

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Laparoscopic cholecystectomy (LC) is usually performed under general anaesthesia (GA). With the advancement of surgical and anaesthetic technique, there were many LC have been successfully performed under epidural anaesthesia in recent years. Surgeons in our hospital have performed gas-free trans-umbilical single port laparoscopic cholecystectomy since 2015. However, the description of thoracic spinal epidural anesthesia (TEA) for gas-free trans-umbilical single port laparoscopic cholecystectomy has not been reported yet. The goal of anesthetic management in gas-free trans-umbilical single port laparoscopic cholecystectomy procedures includes achieving an adequate level of sensory blockade without any respiratory compromise, providing good postoperative pain relief, and mild pain at early ambulation. Epidural anaesthesia fulfils all the mentioned criteria and can contribute to quick recovery and thus has been suggested to be a suitable alternative to general anaesthesia for laparoscopic surgeries. We present a case of the successful application of the thoracic epidural anaesthesia combined with laryngeal mask for gas-free trans-umbilical single port laparoscopic cholecystectomy and postoperative pain.

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“…Laparoscopic procedures for gynaecological surgery are commonly applied under General anaesthesia (GA) 2,19,15 . Regional anaesthesia is preferred only for patients who are at high risk under GA. GA with muscle relaxation and controlled ventilation is the preferred anaesthetic technique because it allows control of airways and ventilation, promotes uniform muscular relaxation and prevents aspiration 17 .…”

Section: Introductionmentioning

confidence: 99%

Spinal versus General Anaesthesia for Laparoscopic Gynaecological Procedures: A Comparative Study of Haemodynamic Changes and Side Effects

Masum¹,

Islam

Haque

et al. 2019

J. Armed Forces Med. Coll.

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Introduction: Laparoscopic gynaecological procedures are conventionally done under general anaesthesia. Spinal anaesthesia is usually preferred only in patients where general anaesthesia is contraindicated. For laparoscopic gynaecological procedures sub arachnoid block is gaining popularity day by day as it is a good alternative to GA. Objective: To compare haemodynamic changes and side effects between subarachnoid block (SAB) and general anaesthesia (GA) for lower abdominal laparoscopic gynaecological procedures. Materials and Methods: A total number of sixty female patients were considered and divided equally into two groups as per American Society of Anesthesiologists (ASA) grade I and II. All patients underwent short duration (<1hr) laparoscopic gynaecological procedures. Group-I patients received lumber SAB and group-II patients received standard general anaesthesia using Propofol, Halothane and Fentanyl. Peri-operative heart rate, blood pressure, Electro-cardiogram (ECG) and Saturation of Oxygen (SPO2) were monitored. Any intra operative and post operative side effects were also recorded and managed. Results: Intra operative and post operative heart rate, systolic and diastolic blood pressure were significantly higher (P<0.05) in group-II. Preoperative, per operative and post operative mean blood pressure (MBP) were also significantly higher (P<0.05) in group-II. During intraoperative period, the side effects in group-I were mainly discomfort and shoulder tip/neck pain and in group-II were hypertension and arrhythmia. Postoperative side effects were mainly postoperative nausea and vomiting (PONV). Conclusion: Spinal anaesthesia using mixture of bupivacaine and fentanyl can be used as a safe alternative to GA for short duration gynaecological laparoscopic procedures with minimum haemodynamic alterations and reduced post operative side effects. To alleviate shoulder tip/neck pain or discomfort patient needs supplementary sedation and analgesia. Journal of Armed Forces Medical College Bangladesh Vol.11(2) 2015: 20-24

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Usefulness of epidural anesthesia in gynecologic laparoscopic surgery for infertility in comparison to general anesthesia

Abstract: Epidural anesthesia, when used in laparoscopic surgery for infertility treatment, has advantages over general anesthesia in terms of analgesic effects, postoperative respiratory function, and a return to preoperative daily activities.

Cited by 12 publications

References 16 publications

Neuroaxial anesthesia for gynecological surgeries: meta-analysis

Neuroaxial anesthesia for gynecological surgeries: meta-analysis

Thoracic epidural anesthesia for gas-free trans-umbilical single port laparoscopic cholecystectomy: a case report

Spinal versus General Anaesthesia for Laparoscopic Gynaecological Procedures: A Comparative Study of Haemodynamic Changes and Side Effects

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