[Paracervical anesthesia in hysteroscopy and transcervical surgery].
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.
Tóth
D
D
Gynek.-porod. klinika 1. LF UK a VFN, Praha.
Kuzel
D
D
Parízek
A
A
Fucíková
Z
Z
Zivný
J
J
Marusicová
P
P
Schneiderková
O
O
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
D000779:Anesthetics, Local; D002045:Bupivacaine