ORIGINAL ARTICLE |
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Year : 2016 | Volume
: 33
| Issue : 3 | Page : 270-273 |
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Vaginal hysterectomy using local anesthesia and analgesics
O Onafowokan1, O Asemota2
1 Department of Obstetrics and Gynaecology, University of Abuja Teaching Hospital, FCT, Gwagwalada, Abuja, Nigeria 2 Department of Family Medicine, Rhema Foundation Hospital, Kwali, Abuja, Nigeria
Correspondence Address:
O Onafowokan Department of Obstetrics and Gynaecology, University of Abuja Teaching Hospital, Gwagwalada, Abuja Nigeria
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/0189-5117.199806
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Context: Vaginal hysterectomy for pelvic organ prolapse is often performed under general or regional anesthesia. However, the performance of this operative procedure under local anesthetic has potential benefits, especially in resource-poor settings.
Aims: The aim of this study was to review the outcome of vaginal hysterectomy and pelvic floor repair using local anesthesia and supplementary analgesia.
Settings and Design: The study was retrospective and the setting was a cottage hospital in the northern Nigeria.
Subjects and Methods: A review of the case records of women who underwent a vaginal hysterectomy and pelvic floor repair for uncomplicated 4th degree (Stage III) uterovaginal prolapse, using local lidocaine infiltration and supplemental pentazocine injection.
Statistical Analysis Used: Descriptive statistics and frequencies were used to describe the population and outcomes of surgery.
Results: Eighteen women successfully had vaginal hysterectomy and pelvic floor repair using local anesthesia with supplemental pentazocine intramuscular injection. Four (22.2%) of the women required supplemental pentazocine injection. The mean duration of surgery was 101.67 (± 14.14) min and the average hospital stay was 36.22 (± 17.16) h. Thirteen (72.2%) women were satisfied with the surgery, anesthesia, and early ambulation while the others desired a totally painless surgery in addition to the early ambulation and short hospitalization.
Conclusions: The use of local anesthesia for vaginal hysterectomy and pelvic floor repair was successful in patients with severe uterovaginal prolapse. A larger, randomized controlled study is recommended. |
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