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:
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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