title: [Influence of general anesthesia in pregnant patients for gynecologic surgery].
abstract: BACKGROUND
  Surgery during pregnancy is suspected to have various harmful influences to pregnant patients and fetuses. Although laparoscopic surgery has been recently reported to have some advantages over open surgery in this condition, it often requires general anesthesia.
  
  
  METHODS
  The influence of general anesthesia was retrospectively investigated in 12 patients having undergone gynecologic surgery during pregnancy in comparison with 18 with surgery under lumbar and epidural anesthesia.
  
  
  RESULTS
  Patients receiving general anesthesia required less pain relief compared with those receiving lumbar and epidural anesthesia. Pregnancy was adequately maintained after surgery in all patients. No abortions or preterm deliveries occurred. There was no significant difference in influence on mother and babies between these two patient groups.
  
  
  CONCLUSIONS
  General anesthesia during pregnancy is not necessarily associated with harmful influences on mother and babies compared with lumbar and epidural anesthesia if selected appropriately.
authors.affiliation: Department of Anesthesia, Nissay Hospital, Osaka.
authors.forename: Kayoko
authors.initials: K
authors.lastname: Hirayama
authors.forename: Satoko
authors.initials: S
authors.lastname: Okuno
authors.forename: Junichi
authors.initials: J
authors.lastname: Inoue
authors.forename: Kyoko
authors.initials: K
authors.lastname: Yamasaki
authors.forename: Ryoko
authors.initials: R
authors.lastname: Kawahara
authors.forename: Takeshi
authors.initials: T
authors.lastname: Yokoi
authors.forename: Noriatsu
authors.initials: N
authors.lastname: Saeki
authors.forename: Takao
authors.initials: T
authors.lastname: Funato
mesh_terms: D000328:Adult; D000700:Analgesics / Q000008:administration & dosage; D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D000773:Anesthesia, Obstetrical; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay / Q000706:statistics & numerical data; D010149:Postoperative Pain / Q000188:drug therapy; D011247:Pregnancy; D012189:Retrospective Studies; D055815:Young Adult
chemical_list: D000700:Analgesics