TY - JOUR
A1 - Onafowokan, O
A1 - Asemota, O
T1 - Vaginal hysterectomy using local anesthesia and analgesics
Y1 - 2016/9/1
JF - Tropical Journal of Obstetrics and Gynaecology
JO - Trop J Obstet Gynaecol
SP - 270
EP - 273
VL - 33
IS - 3
UR - https://www.tjogonline.com/article.asp?issn=0189-5117;year=2016;volume=33;issue=3;spage=270;epage=273;aulast=Onafowokan
DO - 10.4103/0189-5117.199806
N2 - 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.
ER -