Laparoscopic gynecological surgery under minimally invasive anesthesia: a prospective cohort study.
Pierluigi GiampaolinoLuigi Della CorteAntonio MercorioDario BruzzeseAntonio CovielloGiovanna GrassoAnna Claudia Del PianoGiuseppe BifulcoPublished in: Updates in surgery (2022)
The purpose of this study is to assess the feasibility and the perioperative outcomes of laparoscopic gynecological surgery in regional anesthesia (RA) from the point of view of the surgeon, anesthesiologist and patient. This is a prospective cohort study comprising sixty-six women planned to undergo gynecologic laparoscopy surgery for benign pathology at tertiary care gynecolgical center of the University Federico II of Naples. Women were assigned, according to their preference, to either RA (Group A) or general anesthesia (GA) (Group B). Surgical, anesthesiologic and postoperative recovery data were recorded. Postoperative pain was considered as the primary outcome. Secondary outcomes included mobilization, length of hospital stay, global surgeons and patient satisfaction, intraoperative pain assessment in Group A. Immediate postoperative pain was significantly lower in Group A 0 vs 2 (p < 0.001), with no significant differences at 24 h. The secondary outcome demonstrated early patient's mobilization (p < 0.001) as well as early discharge (p < 0.001) and greater patient's satisfaction for the Group A. In these patients, a maximum pain score of 3 points out of 5 was recorded through the entire surgery. RA showed to decrease the impact of surgical stress and to guarantee a quicker recovery without compromising surgical results. Although several surgical approaches can be employed to treat different conditions, RA technique could be a viable option for well-selected patients affected by gynecological diseases.
Keyphrases
- minimally invasive
- postoperative pain
- robot assisted
- coronary artery bypass
- end stage renal disease
- rheumatoid arthritis
- ejection fraction
- chronic kidney disease
- patients undergoing
- newly diagnosed
- chronic pain
- case report
- patient satisfaction
- tertiary care
- polycystic ovary syndrome
- disease activity
- emergency department
- surgical site infection
- pain management
- spinal cord
- pet ct
- type diabetes
- ankylosing spondylitis
- neuropathic pain
- prognostic factors
- spinal cord injury
- metabolic syndrome
- insulin resistance
- coronary artery disease
- patient reported outcomes
- systemic sclerosis
- pregnancy outcomes
- interstitial lung disease
- skeletal muscle
- artificial intelligence
- weight loss