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Paracervical Anaesthesia in Hysteroscopy andTranscervical Surgery


Authors: D. Tóth 1;  D. Kužel 1;  A. Pařízek 1;  Z. Fučíková 1;  J. Živný 1;  P. Marusičová 2;  O. Schneiderková 2
Authors‘ workplace: Gynek. -porod. klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. J. Živný, DrSc. 2 Klinika anesteziologie a resuscitace 1. LF UK a VFN, Praha, přednosta doc. MUDr. Z. Ehler, CSc. 1
Published in: Ceska Gynekol 2000; (1): 42-45
Category:

Overview

Objective:
To evaluate the efficacity of local-paracervical anaesthesia in hysteroscopy and trans-cervical surgery.Design: Prospective study.Setting: Department of Obstetrics and Gynaecology, 1 st medical Faculty, Charles University, Pra-gue.Methods: In 1998 we performed 144 hysteroscopic procedures under local anaesthesia - paracervi-cal block. In 47 (32.6%) cases we performed transcervical surgery. As anaesthetic agent we usedbupivacain (0.25%, Marcain, Astra) combined with an intravenous sedative - midazolam (Dor-micum, Hoffman-LaRoche).Results: In 130 (90.2%) cases patients evaluated the procedure as comfortable, in 7 (4.86%) casesthe procedure caused discomfort and in 7 (4.86%) cases we used general anaesthesia.Conclusion: Paracervical anaesthesia is a safe method for hysteroscopy and transcervical surgerydue to its minimal invasivity.

Key words:
hysteroscopy, paracervical anaesthesia, transcervical surgery

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Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

Article was published in

Czech Gynaecology


2000 Issue 1

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