title: [Paracervical anesthesia in hysteroscopy and transcervical surgery].
abstract: OBJECTIVE
  To evaluate the efficacity of local-paracervical anaesthesia in hysteroscopy and transcervical surgery.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  Department of Obstetrics and Gynaecology, 1st medical Faculty, Charles University, Prague.
  
  
  METHODS
  In 1998 we performed 144 hysteroscopic procedures under local anaesthesia--paracervical block. In 47 (32.6%) cases we performed transcervical surgery. As anaesthetic agent we used bupivacain (0.25%, Marcain, Astra) combined with an intravenous sedative--midazolam (Dormicum, Hoffman-LaRoche).
  
  
  RESULTS
  In 130 (90.2%) cases patients evaluated the procedure as comfortable, in 7 (4.86%) cases the procedure caused discomfort and in 7 (4.86%) cases we used general anaesthesia.
  
  
  CONCLUSIONS
  Paracervical anaesthesia is a safe method for hysteroscopy and transcervical surgery due to its minimal invasivity.
authors.affiliation: Gynek.-porod. klinika 1. LF UK a VFN, Praha.
authors.forename: D
authors.initials: D
authors.lastname: Tóth
authors.forename: D
authors.initials: D
authors.lastname: Kuzel
authors.forename: A
authors.initials: A
authors.lastname: Parízek
authors.forename: Z
authors.initials: Z
authors.lastname: Fucíková
authors.forename: J
authors.initials: J
authors.lastname: Zivný
authors.forename: P
authors.initials: P
authors.lastname: Marusicová
authors.forename: O
authors.initials: O
authors.lastname: Schneiderková
mesh_terms: D000772:Anesthesia, Local; D000779:Anesthetics, Local; D002045:Bupivacaine; D002584:Cervix Uteri / Q000601:surgery*; D016292:Procedural Sedation; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D011446:Prospective Studies
chemical_list: D000779:Anesthetics, Local; D002045:Bupivacaine