P-179: Spinal Anesthesia in Laparoscopic Surgery of Infertile Patients

Background: Laparoscopy is one of the most common surgical procedures. General anesthesia as the only suitable technique for laparoscopic procedures is a concept of the past. A problem with modern general anesthetics is that even though patients can be awake and oriented shortly after cessation of the anesthetic. There is growing evidence suggesting that regional anesthesia has an important role to play in the care of patients undergoing laparoscopy. The key benefits of regional anesthesia include less emesis, less postoperative pain, shorter postoperative stay, improved patient satisfaction, and overall safety. The outcome of regional anesthesia depends on the creativeness of surgeons and anesthesiologists, and patient acceptance. In this study it was decided to compare spinal anesthesia with the gold standard general anesthesia for elective laparoscopic procedure in patients with infertility. Materials and Methods: A prospective descriptive study was performed on 10 cases with infertility that was candid to do Laparoscopy as a work up of infertility. The study group had no contraindication for laparoscopic Surgery, spinal anesthesia and were underwent spinal anesthesia and diagnostic or Therapeutic laparoscopy consists of ovarian drilling or adhesionolysis if it was necessary. Conversion of anesthesia to general, insufflations Pain during surgery, duration of surgery and postoperative variable consists of duration of Hospital stay, presence of nausea or vomiting, use of analgesic or antiemetic and headache were Recorded. Results: The mean age of the study group was 5/7 ±7/2 and there was no conversion to general anesthesia. Insufflations pain was present in 3 of 10 cases (30%) that were treated with use of propofol and the mean duration of surgery was 31miutes.in regard to postoperative variable all 10 patients were discharged at same day of surgery .Two cases (20%) received one dose of analgesic after surgery and none of them developed nausea, vomiting and headache .so, there was no need to use anti-emetic. Conclusion: It seems that use of spinal anesthesia in work up of infertility cases that are underwent laparoscopy is safe and has minimal complication such as insufflations pain ,but it need more study with more cases for the confirmation of this results.