PELVIC LAPAROSCOPY: CLINICAL AND ANESTHETIC CONSIDERATIONS
Keywords:
gynecologic laparoscopy, perioperative care, morbidity perioperative, anesthesiaAbstract
The frontiers of laparoscopic surgery have extended from gynecological procedures to general surgery. Its advantages include smaller incisions, less postoperative pain, less surgical trauma, fewer pulmonary complications, faster recovery and shorter hospital stays. Such advantages are always emphasized and explain the growing success of the technique. Anesthesiologists must be familiar with possible complications associated with various laparoscopic procedures. Therefore, in addition to care related to anesthetic technique, the anesthesiologist must ensure that intra-abdominal pressure remains below 1 SmmHg and that inadvertent endobronchial intubation, pneumothorax and air embolism do not occur. In cases where changes in vital signs do not respond to routine maneuvers, it is imperative to remove the pneumoperitoneum and place the patient in a supine position. General anesthesia with tracheal intubation and controlled ventilation is commonly used, which results in less patient discomfort and better ventilation control. In most cases, when dealing with outpatient procedures, it is important to use anesthetic drugs that are quickly eliminated, to avoid nausea, vomiting and pain with the prophylactic use of antiemetics and analgesics.
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