Spinal anesthesia in vaginal natural orifice transluminal endoscopic surgery: Experience of 12 patients Vajinal destekli doğal orifis transluminal endoskopik cerrahide spinal anestezi: 12 hasta deneyimi
Medical Journal of Bakirkoy, cilt.17, sa.3, ss.197-202, 2021 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 17 Sayı: 3
- Basım Tarihi: 2021
- Doi Numarası: 10.4274/bmj.galenos.2021.29981
- Dergi Adı: Medical Journal of Bakirkoy
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL, EMBASE, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.197-202
- Anahtar Kelimeler: Analgesia, anesthesia, spinal, natural orifice endoscopic surgery, pain, postoperative, postoperative nausea and vomiting
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Vaginal natural orifice transluminal endoscopic surgery (vNOTES) is an alternative to conventional laparoscopy with less postoperative pain and shorter hospital stay. Limited data on the vNOTES under spinal anesthesia (SA) was reported. Thus, this study aimed to evaluate the feasibility, effectiveness, and side effects of SA in patients with gynecologic problems who underwent vNOTES. Methods: SA was administered to the L1-L2 interspinous space in 12 patients with gynecologic problems who underwent vNOTES. Intrathecal 10 µg of fentanyl (0.2 mL) and 0.5% of isobaric bupivacaine were administered. Patient demographic data, peroperative hemodynamic data, postoperative pain scores, and complications were retrospectively recorded. Results: Between January 2019 and December 2019, gynecological surgery was successfully performed on 12 patients under SA via vNOTES. Right shoulder pain was observed in 3 patients (25%) and anxiety in 1 patient (8%), perioperatively. In the first 24 hours postoperatively, 1 patient (8%) had a headache, whereas postoperative nausea and vomiting were not observed. None had pain requiring analgesia in the first 6 hours postoperatively. Conclusion: SA is applicable for vNOTES.