Paracervical anesthesia in hysteroscopy and transcervical surgery
Tóth, D.; Kuzel, D.; Parízek, A.; Fucíková, Z.; Zivný, J.; Marusicová, P.; Schneiderková, O.
Ceska Gynekologie 65(1): 42-45
2000
ISSN/ISBN: 1210-7832 PMID: 10750297 Document Number: 513367
To evaluate the efficacity of local-paracervical anaesthesia in hysteroscopy and transcervical surgery. Prospective study. Department of Obstetrics and Gynaecology, 1st medical Faculty, Charles University, Prague. In 1998 we performed 144 hysteroscopic procedures under local anaesthesia--paracervical block. In 47 (32.6%) cases we performed transcervical surgery. As anaesthetic agent we used bupivacain (0.25%, Marcain, Astra) combined with an intravenous sedative--midazolam (Dormicum, Hoffman-LaRoche). In 130 (90.2%) cases patients evaluated the procedure as comfortable, in 7 (4.86%) cases the procedure caused discomfort and in 7 (4.86%) cases we used general anaesthesia. Paracervical anaesthesia is a safe method for hysteroscopy and transcervical surgery due to its minimal invasivity.