title: Sedation with local versus general anesthesia for the tension-free vaginal tape Secur hammock procedure.
abstract: OBJECTIVE
  To compare the intraoperative and immediate postoperative results achieved with the tension-free vaginal tape Secur (TVT-S) hammock procedure performed under local anesthesia (LA) versus general anesthesia (GA).
  
  
  METHODS
  Prospective randomized trial involving patients with symptomatic stress urinary incontinence grades 1 or 2 who underwent TVT-S under either LA or GA. Postoperative pain intensity, duration of hospitalization, rate of complications, duration of operating and recovery times, and number of additional procedures required were recorded.
  
  
  RESULTS
  Each group included 40 patients. The operative times were identical in the 2 groups, but the time spent in the recovery room was significantly longer in the GA group. Patients undergoing LA experienced less pain than did those undergoing GA. Most patients in the LA group had day surgery, whereas most patients in the GA group went home 1day after the surgery. No significant differences were observed for the rates of complications.
  
  
  CONCLUSIONS
  Performing the TVT-S hammock technique under LA rather than GA reduces postoperative pain and shortens the duration of hospitalization.
authors.affiliation: Section of Gynecology and Obstetrics, Department of Surgery, School of Medicine, Tor Vergata University Hospital, Rome, Italy. araco@libero.it
authors.forename: Francesco
authors.initials: F
authors.lastname: Araco
authors.forename: Gianpiero
authors.initials: G
authors.lastname: Gravante
authors.forename: Roberto
authors.initials: R
authors.lastname: Sorge
authors.forename: John
authors.initials: J
authors.lastname: Overton
authors.forename: Francesca
authors.initials: F
authors.lastname: Castrì
authors.forename: Mario
authors.initials: M
authors.lastname: Primicerio
authors.forename: Emilio
authors.initials: E
authors.lastname: Piccione
mesh_terms: D000762:Anesthesia Recovery Period; D000768:Anesthesia, General / Q000379:methods*; D000772:Anesthesia, Local / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D010149:Postoperative Pain; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000379:methods; D011997:Recovery Room; D053825:Suburethral Slings; D013997:Time Factors; D014550:Urinary Incontinence, Stress / Q000601:surgery*