A randomized prospective comparative study of general versus epidural anesthesia for transcervical hysteroscopic endometrial resection
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This study compared general anesthesia to epidural anesthesia for transcervical hysteroscopic endometrial resection, evaluating outcomes between the two anesthetic techniques.
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Abstract
ObjectiveThis study was undertaken to compare general versus epidural anesthesia during hysteroscopic endometrial resection for dysfunctional uterine bleeding.Study designIn a prospective comparative study, 24 women with abnormal uterine bleeding that was unresponsive to conservative medical management were randomly assigned to undergo hysteroscopic endometrial resection with either general or epidural anesthesia.ResultsThe durations of the endometrial resection procedure were similar for women who had general and epidural anesthesia (28.3 +/- 4.2 minutes vs 27.5 +/- 5.4 minutes, respectively). However, there was a statistically significantly lower absorption of distention fluid in women who underwent the procedure with general rather than epidural anesthesia (380.8 +/- 158.2 mL vs 648.3 +/- 157.1 mL, respectively; P < .0005).ConclusionA significantly lower amount of glycine distention fluid was absorbed during endometrial resection in women who underwent the procedure with general rather than epidural anesthesia.
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Cites (3)
- Endometrial Resection for the Treatment of Menorrhagia 1996
- Endometrial ablation: A series of 568 patients treated over an 11-year period 1996
- Endometrial ablation for postmenopausal uterine bleeding induced by hormone replacement therapy 1995
Cited by (4)
- Pain relief for outpatient hysteroscopy 2017
- Pharmacologic Interventions to Minimize Fluid Absorption at the Time of Hysteroscopy 2023
- Effects of spinal anaesthesia and intravenous general anaesthesia on the absorption of normal salinein patients undergoing hysteroscopic endometrial resection: an observational study 2023
- Pharmacologic Interventions to Minimize Fluid Absorption at the Time of Hysteroscopy 2023
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Cited by (4)
- Pharmacologic Interventions to Minimize Fluid Absorption at the Time of Hysteroscopy 2023
- Effects of spinal anaesthesia and intravenous general anaesthesia on the absorption of normal salinein patients undergoing hysteroscopic endometrial resection: an observational study 2023
- Pharmacologic Interventions to Minimize Fluid Absorption at the Time of Hysteroscopy 2023
- Pain relief for outpatient hysteroscopy 2017
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