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Minilaparotomy in spinal anaesthesia: a surgical choice in treatment of benign gynaecologic disease

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Abstract

Purpose

Minilaparotomic access in spinal anaesthesia represents an example of mininvasive surgery and could be a valid cost–benefit alternative in the surgical treatment of benign gynaecologic diseases.

Methods

The study is a randomized study. We analyzed a consecutive series of 80 patients treated for benign gynaecological diseases with spinal (group A) or with general anaesthesia (group B).

Results

The median length of incision was 5 cm. The average operating time was 40.5 ± 9.39 min, without differences between groups. The average hospital stay was 0.71 days shorter (p ≤ 0.0001) and the postoperative pain was lower at 2 and 6 h from the surgery and at 10 p.m. in the group A (p ≤ 0.0001).

Conclusions

Minilaparotomy in spinal anaesthesia carries advantages from economic point of view with reduction of length of stay in hospital which is an important parameter for the evaluation of the quality of surgical treatments.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, University “A. Avogadro”, Via Solaroli 17, 28100, Novara, Italy

    Daniela Surico, Francesca Riboni, Alessandro Vigone, Livio Leo & Nicola Surico

  2. Florence Centre of Ambulatory Surgery and Infertility, Florence, Italy

    Luca Mencaglia

Authors
  1. Daniela Surico
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  2. Luca Mencaglia
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  3. Francesca Riboni
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  4. Alessandro Vigone
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  5. Livio Leo
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  6. Nicola Surico
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Corresponding author

Correspondence to Francesca Riboni.

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Surico, D., Mencaglia, L., Riboni, F. et al. Minilaparotomy in spinal anaesthesia: a surgical choice in treatment of benign gynaecologic disease. Arch Gynecol Obstet 281, 461–465 (2010). https://doi.org/10.1007/s00404-009-1113-1

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  • DOI: https://doi.org/10.1007/s00404-009-1113-1

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