A comparative review of intra-operative hemodynamic changes in patients undergoing vaginal surgeries using tumescent anaesthesia vs conventional techniques

Anu Pathak, Saroj Singh, Manjari Goel, Neha Agrawal

Abstract


Background: The objective was to assess intra-operative hemodynamic changes in patients undergoing vaginal surgeries using tumescent anaesthesia vs conventional techniques.

Methods: Study was carried out on 200 patients attending the Obst. & Gynae. Dept. of S.N. Medical College, Agra. According to randomization they were divided into 2 groups: group-a: include 100 patients undergoing vaginal surgery using conventional techniques and group-b: include 100 patients undergoing vaginal surgery using tumescent anaesthesia (25 mol of 2% lignocaine and .5 ml eg. Adrenaline (1:1000 conc.) ease and duration of surgery, blood loss, hemodynamic changes during surgery were recorded and comparison drawn and analysed by statistical analysis.

Results: In our study, time required for completion of surgery in group-a was 21-35 min as in group-b it was 36-50 min. More number of cases had blood loss <100 ml (28%) in group-a while in group b maximum number of cases had blood loss >100 ml (90%0. No significant change in mean blood pressure and heart rate between both groups (p>0.05).

Conclusion: Tumescent anaesthesia is on safe approach which reduces time of surgery and blood loss during surgery with no significant changes in haemodynamic variables.


Keywords


Tumescent anaesthesia, Vaginal hysterectomy, Hemodynamic changes

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References


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