European Journal of Molecular & Clinical Medicine

Abstract

Introduction: Hysterectomy is routinely performed laparoscopically. It has many advantages as compared to open abdominal hysterectomy such as less post operative pain, better cosmetic results, shorter hospital stay, lower complication rate. However Laparoscopic surgeries are routinely performed under general anaesthesia with endotracheal intubation to prevent aspirations of gastric contents and respiratory embarrassment secondary to pneumoperitoneum.But it has several disadvantages like hemodynamic instability, postoperative nausea and vomiting, increased postoperative analgesic requirement, complications related to intubation or extubation and postoperative sore throat.
Material and Methods: After the approval of institutional ethics committee and written informed consent 24 ASA grade 1 and 2 patients in the age group of 35 to 55 years underwent total laparoscopic hysterectomy under spinal anaesthesia with intrathecal bupivacaine and fentanyl. Exclusion criteria included those with presence of any condition contraindicating elective surgery or spinal anaesthesia. The patients were explained during pre-operative visit about the procedure and also told that any anxiety, pain, or discomfort during the surgery would be dealt with intravenous medications or if required conversion to general anaesthesia.