Local anesthesia with sedation for vaginal reconstructive surgery
| Autor: | J. Christopher Glantz, Erin E. Duecy, Gunhilde M. Buchsbaum, Danielle T. Albushies, Erin Schoenecker |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Reconstructive surgery medicine.medical_specialty Time Factors medicine.drug_class Urology Sedation Vaginal Diseases Blood Loss Surgical Conscious Sedation Urinary incontinence Anesthesia General Colpotomy Perineum Postoperative Complications Blood loss Uterine Prolapse Humans Medicine Local anesthesia Herniorrhaphy Aged Retrospective Studies Aged 80 and over business.industry Urinary retention Local anesthetic Medical record Age Factors Obstetrics and Gynecology Length of Stay Middle Aged Plastic Surgery Procedures Urinary Retention Patient Discharge Surgery Urinary Incontinence Anesthesia Vagina Female medicine.symptom business Anesthesia Local |
| Zdroj: | International Urogynecology Journal. 17:211-214 |
| ISSN: | 1433-3023 0937-3462 |
| DOI: | 10.1007/s00192-005-1365-7 |
| Popis: | To evaluate local anesthesia with sedation for vaginal reconstructive surgery. All cases of vaginal surgery performed by the primary author for correction of pelvic organ prolapse with and without urinary incontinence between February 2000 and October 2004 were identified. From the medical record, data on age, duration of surgery, amount of local anesthetic used, estimated blood loss, hospital stay, urinary retention, and need for conversion to general anesthesia were recorded. Among 127 potential candidates, 98 (77.2%) opted for local with sedation. These cases included 18 anterior colporrhaphies, 47 posterior colporrhaphies with perineoplasties, 9 enterocele repairs, 32 total colpocleises, and 9 LeFort procedures. Tension-free vaginal tape (TVT) were concomitantly placed in 37 of the cases; 121 TVT-only cases done under local were not included. No cases were converted to general anesthesia. Surgical time ranged from 20 to 195 min (mean 99 min). Most patients were discharged within 24 h of surgery. Traditionally, local anesthesia with sedation has been reserved for superficial vaginal procedures. However, it can be successfully employed for more invasive vaginal reconstructive surgeries. Duration of surgery and patient acceptance have not been limiting factors. The advantages of local anesthesia include minimal interference with homeostasis and rapid recovery with patients often bypassing the recovery unit. |
| Databáze: | OpenAIRE |
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