Laparoscopic adnexectomy under regional anaesthesia: It is possible!

J Gynecol Obstet Hum Reprod. 2020 Sep;49(7):101803. doi: 10.1016/j.jogoh.2020.101803. Epub 2020 May 12.

Abstract

At present, the majority of laparoscopic operations are performed under general anaesthesia, as it controls surgical pain and improves patient comfort using pneumoperitoneum and the Trendelenburg position. However, some laparoscopic procedures, such as adnexectomies, can potentially be performed under epidural anaesthesia with a purposefully selected and motivated patient managed by prepared surgical and anaesthesia care teams working together effectively. This study reports the case of a 63-year-old female patient with major respiratory failure who underwent laparoscopic bilateral adnexectomies under epidural anaesthesia.

Keywords: Bilateral adnexectomies; Epidural anaesthesia; Laparoscopy.

Publication types

  • Case Reports

MeSH terms

  • Adnexa Uteri / surgery
  • Anesthesia, Conduction / methods*
  • Anesthesia, Epidural / methods
  • Anesthetics, Local / administration & dosage
  • Female
  • Humans
  • Laparoscopy / methods
  • Lidocaine / administration & dosage
  • Middle Aged
  • Ovarian Cysts / surgery*
  • Ovarian Neoplasms / pathology
  • Ovarian Neoplasms / surgery

Substances

  • Anesthetics, Local
  • Lidocaine