A case series of thoracic segmental spinal anesthesia for elective gynecological laparoscopic surgeries


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Author :

Sneha Shanker,Gargi Bhavsar,Vidhi Gajjar, Dipti Patel

Volume :

7

Issue :

1

Abstract :

Introduction: Laparoscopic gynaecological surgeries are typically performed under general anaesthesia. While a few studies have explored the use of spinal anaesthesia for these procedures, they have been limited by issues such as shoulder tip pain. However, with growing interest in using thoracic segmental spinal anaesthesia for laparoscopic abdominal procedures, its potential application in gynaecological procedures can be explored. Due to dearth of literature on the same, we chose to conduct a case series involving 10 patients undergoing elective gynaecological laparoscopic surgeries with thoracic segmental spinal anaesthesia. Our objectives were to assess perioperative hemodynamic stability, the incidence of shoulder tip pain, patient tolerance of vaginal manipulation, and the time to post-operative voiding.

Keyword :

Thoracic segmental spinal anaesthesia, laparoscopic surgery