title: Laparoscopically assisted gamete intrafallopian transfer with local anesthesia and intravenous sedation.
abstract: OBJECTIVE
  To determine the length of procedure, length of recovery, patient tolerance, complications, and pregnancy rate (PR) of laparoscopically assisted GIFT performed during local anesthesia with i.v. sedation.
  
  
  METHODS
  A retrospective study.
  
  
  METHODS
  Freestanding private ambulatory surgical center.
  
  
  METHODS
  Thirty-one consecutive couples with infertility.
  
  
  METHODS
  Laparoscopically assisted GIFT during local anesthesia with i.v. sedation.
  
  
  METHODS
  Surgery time, recovery time, patient tolerance, PR, miscarriage rate, and complications.
  
  
  RESULTS
  Cannulation of at least one fallopian tube was achieved successfully in all patients. The average surgery time was 64 +/- 12 minutes (mean +/- SD). The average recovery time was 92 +/- 30 minutes. The PR was 39% with an ongoing PR of 32%. There were no intraoperative or postoperative complications.
  
  
  CONCLUSIONS
  Local anesthesia with IV sedation for GIFT using a two-puncture laparoscopic technique was well tolerated by the patients. Our ongoing PR of 32% compares very favorably with other series using general anesthesia.
authors: Fertility Center of Maryland, Baltimore, Maryland, USA.
authors: S L
authors: SL
authors: Padilla
authors: K
authors: K
authors: Dugan
authors: V
authors: V
authors: Maruschak
authors: R D
authors: RD
authors: Smith
authors: H
authors: H
authors: Zinder
mesh_terms: D000328:Adult; D000772:Anesthesia, Local / Q000379:methods*; D018686:Anesthetics, Intravenous / Q000008:administration & dosage*; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D015181:Gamete Intrafallopian Transfer / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008874:Midazolam / Q000008:administration & dosage; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011247:Pregnancy; D018873:Pregnancy Rate; D015742:Propofol / Q000008:administration & dosage; D012189:Retrospective Studies
chemical_list: D018686:Anesthetics, Intravenous; D008874:Midazolam; D015742:Propofol