A randomized trial of local anesthesia with intravenous sedation vs general anesthesia for the vaginal correction of pelvic organ prolapse

被引：26

作者：

Segal, J. L. ^{[1
]}

Owens, G. ^{[1
]}

Silva, W. A. ^{[1
]}

Kleeman, S. D. ^{[1
]}

Pauls, R. ^{[1
]}

Karram, M. M. ^{[1
]}

机构：

[1] Good Samaritan Hosp, Div Urogynecol & Reconstruct Pelv Surg, Cincinnati, OH 45220 USA

来源：

INTERNATIONAL UROGYNECOLOGY JOURNAL | 2007年 / 18卷 / 07期

关键词：

pelvic organ prolapse; general anesthesia; local anesthesia; reconstructive pelvic surgery;

D O I：

10.1007/s00192-006-0242-3

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The purpose of this study is to compare the feasibility of local anesthesia with IV sedation versus general anesthesia for vaginal correction of pelvic organ prolapse. Patients with pelvic organ prolapse who were scheduled for an anterior or posterior colporrhaphy, or an obliterative procedure, and who did not have a contraindication or preference to type of anesthesia were randomized to one of the two anesthesia groups. Nineteen patients were randomized to the general group and 21 patients were randomized to the local group. Mean operating room, anesthesia, and surgical time were similar in each group, and 10 patients in the local group bypassed the recovery room. Requests and doses of antiemetics, postoperative verbal numerical pain scores and length of hospital stay were similar between the two groups. Mean recovery room and total hospital costs were significantly lower in the local group. Local anesthesia with IV sedation is a feasible alternative for vaginal surgery to correct pelvic organ prolapse.

引用

页码：807 / 812

页数：6