Bloodless Outpatient Surgical Treatment of Rectocele and Cystocele under Local Anesthesia  

作　　者：Octacílio Figueirêdo Netto Priscila Garcia Figueirêdo Eduardo Garcia Figueirêdo Wildecir Barros Octacílio Figueirêdo Netto;Priscila Garcia Figueirêdo;Eduardo Garcia Figueirêdo;Wildecir Barros(Department of Gynecology and Obstetrics, Londrina State University, Londrina, Brazil;Endofemina, Gynecologic Surgery and Laser, Londrina, Brazil;eGyneco.com, Online Vaginal Surgery Course, Londrina, Brazil;Brazilian College of Laser Sculpture, Brasília, Brazil;Bella Forma Laser, Brasília, Brazil)

机构地区：[1]Department of Gynecology and Obstetrics, Londrina State University, Londrina, Brazil [2]Endofemina, Gynecologic Surgery and Laser, Londrina, Brazil [3]eGyneco.com, Online Vaginal Surgery Course, Londrina, Brazil [4]Brazilian College of Laser Sculpture, Brasília, Brazil [5]Bella Forma Laser, Brasília, Brazil

出　　处：《Open Journal of Obstetrics and Gynecology》2021年第5期569-577,共9页妇产科期刊（英文）

摘　　要：<strong>Background:</strong> <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">Surgical treatment of rectocele and cystocele is usually performed in a hospital setting under regional (spinal or epidural) or general anesthesia, and patients commonly have to stay in the hospital for at least one or two days. The possibility of performing the surgery under local anesthesia, as an outpatient procedure with minimal bleeding and pain, no surgical assistants, with immediate discharge and, most importantly, without compromising postoperative results, is appealing. To our knowledge, no studies ha</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">ve</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> evaluated whether performing rectocele and/or cystocele rectocele repair under local infiltration anesthesia and without separation of the vaginal mucosa from the underlying fascia achieves these goals.</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Objective:</span></b></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;"> The aim of this study is to describe a new surgical technique for outpatient treatment of cystocele and rectocele under local anesthesia, and our initial results. </span><b><span style="font-family:Verdana;">Materials and Methods:</span></b><span style="font-family:Verdana;"> Forty women underwent outpatient surgical repair of rectocele and/or cystocele between April and September 2020 at the ambulatory procedure room of the authors’ clinics. The technique consists of a triangular-shaped CO</span>_{<span style="font-family:Verdana;">2</span>}<span style="font-family:Verdana;"> laser vaporization</span><span style<strong>Background:</strong> <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">Surgical treatment of rectocele and cystocele is usually performed in a hospital setting under regional (spinal or epidural) or general anesthesia, and patients commonly have to stay in the hospital for at least one or two days. The possibility of performing the surgery under local anesthesia, as an outpatient procedure with minimal bleeding and pain, no surgical assistants, with immediate discharge and, most importantly, without compromising postoperative results, is appealing. To our knowledge, no studies ha</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">ve</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> evaluated whether performing rectocele and/or cystocele rectocele repair under local infiltration anesthesia and without separation of the vaginal mucosa from the underlying fascia achieves these goals.</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Objective:</span></b></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;"> The aim of this study is to describe a new surgical technique for outpatient treatment of cystocele and rectocele under local anesthesia, and our initial results. </span><b><span style="font-family:Verdana;">Materials and Methods:</span></b><span style="font-family:Verdana;"> Forty women underwent outpatient surgical repair of rectocele and/or cystocele between April and September 2020 at the ambulatory procedure room of the authors’ clinics. The technique consists of a triangular-shaped CO</span>_{<span style="font-family:Verdana;">2</span>}<span style="font-family:Verdana;"> laser vaporization</span><span style

关 键 词：RECTOCELE CYSTOCELE Pelvic Organ Prolapse Repair Local Anesthesia 

分 类 号：O17[理学—数学]