Minilaparotomy in spinal anaesthesia: a surgical choice in treatment of benign gynaecologic disease.
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.
Surico
Daniela
D
Department of Obstetrics and Gynecology, University A. Avogadro, Via Solaroli 17, 28100 Novara, Italy.
Mencaglia
Luca
L
Riboni
Francesca
F
Vigone
Alessandro
A
Leo
Livio
L
Surico
Nicola
N
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