[Painless hysterectomy: an innovative technique].
We describe a completely innovative approach to vaginal hysterectomy where the surgeon and anesthetist work in tandem to ensure that the patient receives optimal pain management: combined use of general and long-acting local-regional anesthesia and use of the "bi-clamp" procedure for bipolar electrosurgery which has proved to be a significant technical improvement. In this way, pain, until now the major drawback of this procedure, is really decreased allowing a better acceptance of the procedure and a greatly improved quality of life.
Clavé
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Clinique Saint-Antoine, 7, avenue Durante, BP1211, 06004 Nice Cedex 01. clave.henri@wanadoo.fr
Niccolaï
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D000765:Anesthesia, Conduction / Q000379:methods*; D000772:Anesthesia, Local / Q000379:methods*; D004598:Electrosurgery / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control* / Q000523:psychology; D010342:Patient Acceptance of Health Care / Q000523:psychology; D011788:Quality of Life; D016896:Treatment Outcome