Top

Archives of Gynecology and Obstetrics

Published in:

01-03-2010 | Original Article

Minilaparotomy in spinal anaesthesia: a surgical choice in treatment of benign gynaecologic disease

Authors: Daniela Surico, Luca Mencaglia, Francesca Riboni, Alessandro Vigone, Livio Leo, Nicola Surico

Published in: Archives of Gynecology and Obstetrics | Issue 3/2010

Abstract

Purpose

Minilaparotomic access in spinal anaesthesia represents an example of mininvasive surgery and could be a valid cost–benefit alternative in the surgical treatment of benign gynaecologic diseases.

Methods

The study is a randomized study. We analyzed a consecutive series of 80 patients treated for benign gynaecological diseases with spinal (group A) or with general anaesthesia (group B).

Results

The median length of incision was 5 cm. The average operating time was 40.5 ± 9.39 min, without differences between groups. The average hospital stay was 0.71 days shorter (p ≤ 0.0001) and the postoperative pain was lower at 2 and 6 h from the surgery and at 10 p.m. in the group A (p ≤ 0.0001).

Conclusions

Minilaparotomy in spinal anaesthesia carries advantages from economic point of view with reduction of length of stay in hospital which is an important parameter for the evaluation of the quality of surgical treatments.

Panici P, Zullo MA, Angioli R, Muzii L (2005) Minilaparotomy hysterectomy: a valid option for the treatment of benign uterine pathologies. Eur J Obstet Gynecol Reprod 119(2):228–231. doi:10.1016/j.ejogrb.2004.07.039 CrossRef

Fanfani F, Fagotti A, Longo R, Marana E, Mancuso S, Scambia G (2005) Minilaparotomy in the management of benign gynecologic disease. Eur J Obstet Gynecol Reprod 119(2):232–236. doi:10.1016/j.ejogrb.2004.07.040 CrossRef

Flynn MK, Niloff CM (1999) Outpatient minilaparotomy for ovarian cysts. J Reprod Med 44:399–404PubMed

Cagnacci A, Pirillo D, Malmusi S, Arangino S, Alessandrini C, Volpe A (2003) Early outcome of myomectomy by laparotomy, minilaparotomy and laparoscopically assisted minilaparotomy. A randomized study. Hum Reprod 18(12):2590–2594. doi:10.1093/humrep/deg478 CrossRefPubMed

Muzii L, Basile S, Zupi E, Marconi D, Zullo MA, Manci N, Bellati F, Angioli R, Benedetti Panici P (2007) Laparoscopic-assisted vaginal hysterectomy versus minilaparotomy hysterectomy: a prospective, randomized, multicenter study. J Minim Invasive Gynecol 14(5):610–615. doi:10.1016/j.jmig.2007.05.012 CrossRefPubMed

Alcalde JL, Guiloff E, Ricci P, Solà V, Pardo J (2007) Minilaparotomy hysterectomy assisted by self-retaining elastic abdominal retractor. J Minim Invasive Gynecol 14(1):108–112. doi:10.1016/j.jmig.2006.06.030 CrossRefPubMed

Fanfani F, Fagotti A, Ercoli A, Bifulco G, Longo R, Mancuso S, Scambia G (2004) A prospective randomized study of laparoscopy and minilaparotomy in the management of benign adnexal masses. Hum Reprod 19(10):2367–2371. doi:10.1093/humrep/deh413 CrossRefPubMed

Fanfani F, Fagotti A, Bifulco G, Ercoli A, Malzoni M, Scambia G (2005) A prospective study of laparoscopy versus minilaparotomy in the treatment of uterine myomas. J Minim Invasive Gynecol 12(6):470–474. doi:10.1016/j.jmig.2005.07.002 CrossRefPubMed

Glasser MH (2005) Minilaparotomy myomectomy: a minimally invasive alternative for the large fibroid uterus. J Minim Invasive Gynecol 12(3):275–283. doi:10.1016/j.jmig.2005.03.009 CrossRefPubMed

10.

Palomba S, Zupi E, Falbo A, Russo T, Marconi D, Tolino A, Manguso F, Mattei A, Zullo F (2007) A multicenter randomized, controlled study comparing laparoscopic versus minilaparotomic myomectomy: reproductive outcomes. Fertil Steril 88(4):933–941. doi:10.1016/j.fertnstert.2006.12.047 CrossRefPubMed

11.

Benedetti-Panici P, Maneschi F, Cutillo G, Scambia G et al (1996) Surgery by minilaparotomy in benign gynecologic disease. Obstet Gynecol 87:456–459. doi:10.1016/0029-7844(95)00441-6 CrossRefPubMed

12.

Benedetti-Panici P, Zullo MA, Casalino B, Angioli R, Muzii L (2003) Subcutaneous drainage versus no drainage after minilaparotomy in gynecologic conditions: a randomized study. Am J Obstet Gynecol 188:71–75. doi:10.1067/mob.2003.103 CrossRef

13.

Hoffman MS, Lynch CM (1999) Minilaparotomy hysterectomy. Am J Obstet Gynecol 181(4):1037–1038. doi:10.1016/S0002-9378(99)70349-2 CrossRef

14.

Bird SB, Dickson EW (2001) Clinically significant changes in pain along the visual analogy scale. Ann Emerg Med 38(6):639–643. doi:10.1067/mem.2001.118012 CrossRefPubMed

15.

Gracely RG, Dubner R (1987) Reliability and validity of verbal descriptor scales of painfulness. Pain 29:175–185. doi:10.1016/0304-3959(87)91034-7 CrossRefPubMed

16.

Dixon JS (1986) Agreement between horizontal and vertical visual analogue scales. Br J Rheumatol 24:415–416

17.

Price DD, McGrath PA, Rafii A, Buckingham B (1983) The validation of visual analogy scales as ratio scale measures for chronic and experimental pain. Pain 17:45–56. doi:10.1016/0304-3959(83)90126-4 CrossRefPubMed

18.

Ferraris G (1986) Tecnica chirurgica. Chirurgia Ginecologica e Ostetrica. Utet

Title: Minilaparotomy in spinal anaesthesia: a surgical choice in treatment of benign gynaecologic disease
Authors: Daniela Surico
Luca Mencaglia
Francesca Riboni
Alessandro Vigone
Livio Leo
Nicola Surico
Publication date: 01-03-2010
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 3/2010
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-009-1113-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Minilaparotomy in spinal anaesthesia: a surgical choice in treatment of benign gynaecologic disease

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 3/2010

Prognostic significance of estrogen receptor alpha and beta expression in human serous carcinomas of the ovary

Extraovarian primary peritoneal papillary serous carcinoma

Intrauterine fetal bone retention after late-term abortion by external force in the 20th week of pregnancy

Analysis of the distribution shift of detected aneuploidies by age independent first trimester screening

Bone ultrasonometry measurements during pregnancy

Regulated expression of the Renin-Angiotensin-System in human granulosa lutein cells: Angiotensin II increases VEGF expression but its synthesis is reduced by hCG