The ways of prophylaxis complications of early after operating period during andoscopic operations in connectionwith women,s sterility
Mark Izrailevich Neymark , Svetlana Anatolievna Haustova , Elene Alexandrovna Marcova , Tatiana Alexandrovna Kuzhnetsova
Journal of obstetrics and women's diseases ›› 2012, Vol. 61 ›› Issue (3) : 41 -45.
The ways of prophylaxis complications of early after operating period during andoscopic operations in connectionwith women,s sterility
The aim of the research is the reason of application of ketorol as an analgesic component of general anesthesia during endoscopic gynaecological surgery with regard to sterility. A retrospective analysis of medical history of 200 females at the age of 19–35 who underwent a surgery for sterility has been carried out. All the patients were divided into 4 groups (50 objects in each). In the first group ketamine anesthesia was applied, in the second group — dormicum-based ataralgesia, in the third group — neuroleptanalgesia, and in the fourth group – anesthesia by propofol together with preemptive analgesia by ketorol were applied. It was anesthesia risk of the first degree according to ASA classification. All the variants of anesthesia provided its adequacy. Among the patients from groups 1–3 28–40 % needed extra postsurgical analgesia, 8–12 % needed a postsurgical artificial lung ventilation period, 6–8 % had PONV. Аnalgesia by ketorol in complex with propofol provided adequate anesthesia during laparoscopic gynaecological operations with regard to sterility, it wasn’t followed by postoperative nausea or vomiting, it didn’t require extended postsurgical artificial lung ventilation or extra anesthetization
PONV / laparoscopic gynaecological operations
| [1] |
Маргиани Ф. А. Женское бесплодие: медицинские и социальные проблемы // Проблемы репродукции.— 2002.— № 5.— С. 28–29. |
| [2] |
Поллард Б. Дж. Руководство по клинической анестезиологии / пер. с англ.; ред. Л. В. Колотилов, В. В. Мальцев. — М.: МЕДпресс-информ, 2006. — 912 с. |
| [3] |
Радзинский В. Е., Духин А. О., Костин И. Н. Репродуктивное здоровье женщин после хирургического лечения гинекологических заболеваний // Акушерство и гинекология. — 2006. — № 4. — С. 51–54. |
| [4] |
A factorial trial of six interventions for the prevention of postoperative nausea and vomiting / Apfel C. C. [et al.] // N. Engl. J. Med. — 2004. — Vol. 350. — P. 2441–2451. |
| [5] |
Double-blind randomized comparison of ondansetron and intraoperative propofol to prevent postoperative nausea and vomiting / Gan T. J. [et al.] // Anesthesiology. — 1996. — Vol. 85. — P. 1036–1042. |
| [6] |
Effekt of low-dose droperidol on the QT interval during and after general anesthesia: a placebo-controlled study / White P. F. [et al.] // Anesthesiology. — 2005. — Vol. 102. — P. 1101–1105. |
Neymark M.I., Haustova S.A., Marcova E.A., Kuzhnetsova T.A.
/
| 〈 |
|
〉 |
PDF
