Content
- 1 Preparations for anesthesia
-
2 Under what makes anesthesia laparoscopy ovarian cysts
- 2.1 General anesthesia
- 2.2 epidural anesthesia
- 3 Possible effects from anesthesia
- 4 conclusion
- 5 Reviews
Laparoscopy - a type of surgery that involves minimal damage to the skin. But even such an operation needs to be effective pain relief. Anesthesia laparoscopy ovary can be different ways. It all depends on the individual and the complexity of the operation.
Preparations for anesthesia
To the removal of ovarian cysts for women passed safely, and anesthesia did not cause side effects, you should follow a few rules:
- preoperatively examined all organs and systems. To this end shall undertake a general analysis of blood, urine, heart function is checked by means of an electrocardiogram;
- if the woman takes drugsIt necessarily inform the anesthesiologist and the surgeon;
- the day before surgery to remove a cyst gastrointestinal tract clean using laxatives or enemas;
- at least 18 hours before surgery canceled meal and during the week before that adhere to a strict diet.
If you follow these recommendations, the postoperative period will take a positive and recovery is rapid.
Under what makes anesthesia laparoscopy ovarian cysts
Choosing the type of anesthesia during laparoscopic ovarian cysts depends on many factors:
- volume of surgical intervention;
- how urgent is the laparoscopy;
- these results evaluable patients;
- concomitant pathologies;
- blood pressure levels.
There are two types of anesthesia that are used when removing an ovarian cyst:
- General anesthesiaIn which the woman is completely absent consciousness.
- Local and epidural anesthesiaWhich is characterized by preserved consciousness of the patient.
Briefly about the types of anesthesia described in the following video:
General anesthesia
Depending on the mode of administration, anesthetic agent into the body, secrete several kinds of general anesthesia during laparoscopic ovarian:
- endotracheal - anesthetic enters the body due to endotracheal intubation.
- inhalation - anesthetic agent is inhaled through a special mask.
- Intravenous - a preparation for anesthesia is introduced through the catheter into the peripheral vein.
- Spinal - a drug administered under the arachnoid spinal cord.
Feature endotracheal general anesthesia when performing laparoscopy ovaries - the need for intubation. To this end, the anesthesiologist inserts a tube under visual control into the trachea of a patient. The presence of duct prevents the ingress of gastric contents into the lungs and enters the anesthetic directly into the respiratory tract.
Attention! It is this kind of general anesthesia is most common during laparoscopy. Its main advantage - the need for a smaller amount of anesthetic agents.
And this, in turn, means less toxic to the body during laparoscopy.
Inhalation general anesthesia used in laparoscopy ovaries are much rarer.
drug-induced sleep using intravenous administration of drugs used for short operations. A spinal anesthesia is used in emergency situations.
epidural anesthesia
To help treat an epidural during the planned interventions that do not take much time. When you remove an ovarian cyst under epidural anesthetic drug is injected into the space around the hard shell that surrounds the spinal cord. Injection of anesthetic causes a complete loss of sensation below the site of the puncture.
The biggest advantage of epidural anesthesia to general anesthesia during laparoscopic ovarian - no effect on the central nervous system. Anesthetic operates strictly limited area of the body.
But this method has some drawbacks. Laparoscopy ovarian cyst under local anesthesia can occur gastric mass entering the airways. This is due to the fact that during operation, the pressure in the abdominal cavity rises, and the contents of the stomach literally pushed upward.
Another disadvantage of epidural anesthesia - the need for a parallel injection of sedatives. Because of this possible violation of the respiratory function, which leads to a lack of oxygen in the blood.
Possible effects from anesthesia
In our time, the removal of ovarian cysts has become almost routine operation, and the probability of complications after anesthesia is minimal. But in rare cases there are such unpleasant consequences:
- slow heartbeat;
- aspirate the contents of the gastrointestinal tract;
- pneumothorax - air into the cavity surrounding the lungs;
- violation of blood flow in vessels due to occlusion by thrombus;
- allergic to the anesthetic;
- purulent inflammation of soft tissues due to improper administration of anesthesia;
- respiratory depression.
When epidural anesthesia in patients with bleeding disorders may form a hematoma in the spinal canal.
Warning! Approximately 5% of women who underwent laparoscopic ovarian cyst under epidural anesthesia, analgesia was partially or completely absent.
conclusion
In modern medicine, anesthesia for laparoscopic ovarian anyone should not scare. After all, the modern anesthetics and latest equipment make it possible to enter the strictly necessary dose of the anesthetic agent. And the harm to women's health when properly selected dose is virtually zero.
Reviews
Voloshin Natalia Petrovna, 45 years, city Korolev
When the doctor learned that I would be a laparoscopy ovarian cysts, at first very frightened. But it went over well. In the morning we do a laparoscopy, and in the evening I could walk. A week after the operation had already gone to work.
Kiriyenko Inna Vitalevna, 34 years, city St. Petersburg
I had surgery more than two years ago, under general anesthesia. Diagnosed "endometriosis and ovarian cysts." The biggest disadvantage - the need to take hormones for six months after surgery. But this is due soon diagnosed: "Endometriosis of the uterus."
Mironenko Yaroslavovna Alisa, 30 years, city Tomsk
I did a laparoscopy ovarian cysts under a mask anesthesia. Consciousness has shut down almost immediately. During the operation, I do not feel anything, and the next day she could already get out of bed. Everything went very well, no pain was not!
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