Office laparoscopy under local anesthesia and conscious sedation

Authors

  • Jaime Saavedra

DOI:

https://doi.org/10.18597/rcog.675

Keywords:

Laparoscopy, local anesthesia, micro laparoscopy

Abstract

Laparoscopy under local anesthesia goes by the hand with laparoscopy's origin; at the beginning this was introduced as a procedure under local anesthesia because of the problems generated by the high costs of the procedure with general anesthesia.

Micro laparoscopy under local anesthesia is one of the recent advances of the minimally invasive surgery, that combines two different techniques, the first one is the use of laparoscopes with a size less than 2mm., and the second one is the carrying out the laparosocopic procedure at different places from the operating theater.

The laparoscopy under local anesthesia is used for diagnostic procedures and for simple operating theater procedures.

The most important requirement for the success of a laparoscopy under local anesthesia is the patient's determination for taking the procedure under this technique.

Author Biography

Jaime Saavedra

Profesor titular. Departamento de Obstetricia y Ginecología. Universidad del Valle – Cali Colombia. Jefe del Servicio de Medicina Reproductiva. Hospital Universidad del Valle-Cali. Presidente Asociación Colombiana de Médicos Endoscopistas. Director General de la Clínica de Cirugía Endoscópica y Láser, Centro Médico Los Andes, Cali-Valle del Cauca. Director General del Centro de Biomedicina Reproductiva - FECUNDAR. Cali-Valle del Cauca.

 

References

Gunning JE. The history of laparoscopy. J Reprod Med. 1974; 12; 222-226.

Short AR. The use of celioscopy. Br. Med J. 1925; 2: 254-257.

Alexander G, Goldraht M, Brown E M et al. Outpatient laparoscopic sterilization under local anesthesia. Am J Obstet Gynecol 1973; 116: 1065-1070.

Fishburne P J. Office laparoscopic sterilization with local anesthesia. J Reprod Med. 1977; 18: 223-228.

Hulka J, Fishburne J, Mercer J. et al. Laparosocopic sterilization with a spring clip: A report of the first fifty cases. Am J Obstet Gynecol 1973; 116: 715-720.

Penfield A. Gynecologic Surgery under Local Anesthesia. Baltimore. Munich, Urban and Schwarzeburg 1986; 189.

Bordahl, Raeder, Nordentoft, et al. Laparoscopic sterilization under local anesthesia or general anesthesia? A randomized study. Obstet Gynecol. 1993; 81: 137-141.

Childers J, Hatch K, Surwit E et al. Office laparoscopy and biopsy evaluation of patients with intraperitoneal carcinomatosis using a new optical catheter. Gynecol Oncol. 1992; 47: 337-342.

Friedrich P J. Outpatient laparoscopy under local anesthesia in a procedure room. In First Master Course in Office Laparoscopy under Local Anesthesia. Proceedings of the American Association of Office Endoscopy. May 3-5. 1996. Tuskegu AL. Tuskegu University. P. 1-8.

Lipscomb G, Sumwit R, McCord M, et al. The effect of nitrous oxide and carbon dioxide premoperitoneam on operative and post operative pain during laparoscopic sterilization under local anesthesia. J Am Assoc Gynecol Laparosc. 1994; 2: 57-60.

Love B, McCorvey, R McCorvey M. Low cost office laparoscopic sterilization. J Am Assoc Gynecol Laparosc. 1994; 1: 379-384.

McCorvey R, Love B. Microendoscopic office laparoscopy under local anesthesia. Second International Symposium and Hands-on Workshop on office Micro Endoscopy and Endoscopic Microsurgery in Gynecology. San Francisco, CA, The American Association of Gynecologic Laparoscopy. Jul 19-21, 1996 p. 80.

Metha P. Laparoscopic sterilization with Falope ring: Experience with 10.100 women in rural camps. Obstet Gynecol. 1981; 57: 345-350.

Palter S. Moving laparoscopy into the office. OBG Management 1955: 9: 27-36.

Penfield A: Twenty two years of office and outpatient laparoscopy: Current techniques and why I chose them. J Am Assoc Gynecol Laparosc, 1995; 2: 365-368.

Poindexter A, Abdul - Malak M, Fast J. Laparoscopic tubal sterilization under local anesthesia. Obstet Gynecol 1990; 75: 5-9.

Risquez F, Pennhouar O, Fernández R et al. Microlaparoscopy: A prelirninary report. Human Reprod. 1993; 8: 1701-1702.

Steege JF. Repeated clinic laparoscopy for the treatment of pelvic adhesions: A pilot study, Obstet Gynecol. 1994; 83: 276-279.

Gomel V, Taylor PK. Diagnostic and Operative Gynecologic Laparoscopy, 1995, Mosby Year Book Inc., p: 68-70.

Hulka J, Reich H. Text Book of Laparoscopy. Philadelphia, WB Saunders. 1985; p. 81-83, 136-151.

Peterson HB, Hulka JF, Spielman FJ, Lee S, Marchbanks PA. Local vs. general anesthesia for laparoscopic sterilization: Randomized study. Obstet Gynecol, 1987; 70: 903-908.

Brown DR, Fishburne JI, Roberson VO, Hulka JV. Ventilatory and blood gas changes during laparoscopy with local anesthesia. Am J Obstet Gynecol. 1976; 124: 741-745.

Wheeles CR Jr. Outpatient laparoscopic sterilization under local anesthesia. Obstet Gynecol 1972; 39: 767-770.

Alexander GD, Goldrath M, Brown EM, Smiler BG. Outpatient laparoscopic sterilization under local anesthesia. Am J Obstet Gynecol 1993; 116: 1065-1068.

Palter S, Olive D. Office laparoscopy under local anesthesia for chronic pelvic pain: Utility, acceptance, and cost-benefit analysis. J Am Assoc Gynecol Laparosc 1996; 3: 359-364.

Palter SF, Olive DL. Office laparoscopy under local anesthesia for infertility: Utility, acceptance, and cost - benefit/ outcome analyser. Fertil Steril 1995; 64: S8-S9.

Labastida R N. Tratado y Atlas de Histeroscopia. Salvat Editores, S.A. Barcelona, 1990; 28-30.

Metha PV. A total of 250.136 laparoscopic sterilizations by single operator. Br J Obstet Gynecol 1989; 96: 1024-1034.

How to Cite

1.
Saavedra J. Office laparoscopy under local anesthesia and conscious sedation. Rev. colomb. obstet. ginecol. [Internet]. 2000 Sep. 29 [cited 2024 May 12];51(3):154-60. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/675

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Published

2000-09-29
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