title: Minilaparotomy in spinal anaesthesia: a surgical choice in treatment of benign gynaecologic disease.
abstract: OBJECTIVE
  Minilaparotomic access in spinal anaesthesia represents an example of mininvasive surgery and could be a valid cost-benefit alternative in the surgical treatment of benign gynaecologic diseases.
  
  
  METHODS
  The study is a randomized study. We analyzed a consecutive series of 80 patients treated for benign gynaecological diseases with spinal (group A) or with general anaesthesia (group B).
  
  
  RESULTS
  The median length of incision was 5 cm. The average operating time was 40.5 +/- 9.39 min, without differences between groups. The average hospital stay was 0.71 days shorter (p < or = 0.0001) and the postoperative pain was lower at 2 and 6 h from the surgery and at 10 p.m. in the group A (p < or = 0.0001).
  
  
  CONCLUSIONS
  Minilaparotomy in spinal anaesthesia carries advantages from economic point of view with reduction of length of stay in hospital which is an important parameter for the evaluation of the quality of surgical treatments.
authors.affiliation: Department of Obstetrics and Gynecology, University A. Avogadro, Via Solaroli 17, 28100 Novara, Italy.
authors.forename: Daniela
authors.initials: D
authors.lastname: Surico
authors.forename: Luca
authors.initials: L
authors.lastname: Mencaglia
authors.forename: Francesca
authors.initials: F
authors.lastname: Riboni
authors.forename: Alessandro
authors.initials: A
authors.lastname: Vigone
authors.forename: Livio
authors.initials: L
authors.lastname: Leo
authors.forename: Nicola
authors.initials: N
authors.lastname: Surico
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D000775:Anesthesia, Spinal; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D007902:Length of Stay; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D010147:Pain Measurement; D010149:Postoperative Pain; D017060:Patient Satisfaction; D011247:Pregnancy