title: [Experience with spinal anesthesia using pethidine in the surgery of vesicovaginal fistula in African women (30 cases)].
abstract: We report our experience of spinal anesthesia using pethidine at doses of 1 ml/5 kg applied to the surgery of the vesico-vaginal fistulas in the african woman. The sensitive block lasts 80.5 +/- 15.5 min. at its maximal block stage and its recovery lasts 25.6 +/- 12.6 min. The complete block of the motor nerves, obtained in 83.3% of cases, lasts 60.5 +/- 12.4 min. The hemodynamic tolerance has always proved to be excellent. The only noticeable after effect is pruritus (13.3% of cases). This kind of anesthesia of still unknown mode of action (local anesthetic action or/and action on the morphinic receptors) seems to be a valuable alternative both to the expensive general anesthesia and to the spinal anesthesia performed with the standard local anesthetics which are allergenic and toxic . Its very low cost must be a good reason for an infra-umbilical surgery in the African countries.
mesh_terms: D000293:Adolescent; D000328:Adult; D000349:Africa; D000775:Anesthesia, Spinal / Q000379:methods*; D003365:Costs and Cost Analysis; D005260:Female; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D008614:Meperidine / Q000008:administration & dosage* / Q000009:adverse effects; D014719:Vesicovaginal Fistula / Q000601:surgery*
chemical_list: D008614:Meperidine
vernacular_title: Expérience de la rachianesthésie à la péthidine dans la chirurgie des fistules vésico-vaginales de la femme africaine (30 cas).