[Effect of epidural anesthesia on hemorheology in patients undergoing gynecological laparoscopy].
OBJECTIVE
To evaluate the effect of epidural anesthesia and patient-controlled epidural analgesia (PCEA) on hemorheology and the incidence of deep venous thrombosis in patients undergoing gynecological laparoscopy.


METHODS
One hundred ASA I-II patients undergoing gynecological laparoscopy were randomly allocated into 2 groups to receive general-epidural anesthesia combined with PCEA (GE group) and general anesthesia (G group). Blood samples were taken before anesthesia (T(0)), before operation (T(1)), 30 min after pneumoperitoneum (T(2)), 30 min after pneumoperitoneum cease (T(3)), and 24 and 48 h after the operation (T(4), T(5)) for hemorheological tests.


RESULTS
In GE group, the blood viscosity, plasma viscosity and RBC aggregation decreased significantly at T(1) (P<0.05), but no significant variations were detected at the other time points. In G group, blood viscosity and plasma viscosity increased significantly from T(2) to T(5), and were significantly higher than those of GE group. The incidence of deep venous thrombosis of GE group (2%) was significantly lower than that of the G group (8%).


CONCLUSIONS
The blood viscosity, plasma viscosity and RBC aggregation increase during gynecological laparoscopy, and can be reduced by epidural anesthesia and PCEA to lower the incidence of deep venous thrombosis.
Department of Anesthesiology, Guangzhou Women and Children's Medical Center, Guangzhou 510180, China. losonlao@hotmail.com
Jian-xin
JX
Lao
Yong-fu
YF
Zhang
Qiong
Q
Wang
Shu-xia
SX
Tan
D000293:Adolescent; D000328:Adult; D016058:Analgesia, Patient-Controlled / Q000379:methods*; D000767:Anesthesia, Epidural / Q000379:methods*; D005260:Female; D013509:Gynecologic Surgical Procedures; D018056:Hemorheology; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D010048:Ovarian Cysts / Q000097:blood / Q000601:surgery; D011247:Pregnancy; D014594:Uterine Neoplasms / Q000097:blood / Q000601:surgery*; D055815:Young Adult