Laparoscopically assisted gamete intrafallopian transfer with local anesthesia and intravenous sedation.
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.
Padilla
S L
SL
Fertility Center of Maryland, Baltimore, Maryland, USA.
Dugan
K
K
Maruschak
V
V
Smith
R D
RD
Zinder
H
H
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
D018686:Anesthetics, Intravenous; D008874:Midazolam; D015742:Propofol