THE ANESTHESICAL AND GYNECOLOGICAL PARTICULARITIES IN LAPAROSCOPIC SURGERY OF THE BENIGN OVARIAN TUMORS
Laura Cotîrleţ Gavril (1), A. Cotîrleţ (2), E. Tincu (3), Florentina Pricop (4)
(1) PhD student “Gr.T.Popa” University of Medicine and Pharmacy Iaşi
(2) Surgery Department, Emergency Hospital Moineşti
(3) Intensive Care, Emergency Hospital Moineşti
(4) “Elena Doamna” Obstretics – Gynecology Hospital, Iaşi
“Gr.T.Popa” University of Medicine and Pharmacy Iaşi
Jurnalul de chirurgie 2011; 7 (4): 558-565
Full text: Format PDF (Română/Romanian)

Abstract:

Laparoscopic surgery has changed in the last years the therapeutic management of ovarian tumors. The role of the anesthesist is to prevent and reduce the physiological effects of increased intra-abdominal pressure and to prepare the patient with severe comorbidities for laparoscopic surgery. The aim of the study was to analyze the anesthesical and gynecological particularities of 130 patients undergoing laparoscopic surgery for the treatment of ovarian tumors in the Municipal Emergency Hospital Moinesti. Material and method. This study included a number of 130 patients laparoscopicaly treated for benign ovarian tumors. Of these 130 patients, 3 were at prepubertal age, 109 at reproductive age and 18 cases were postmenopausal. Preoperative evaluation of patients has included clinical examination, biochemical, hematological tests, ultrasound and determination of tumor markers. Results. Types of laparoscopic surgery performed were cystectomy (76), anexectomy (45) and ovariectomy (3). In 6 cases, the laparoscopy has been transformed in laparotomy due to the anatomical conditions (extensive adhesions, large size of tumor) and because the suspicion of malignancy. Intraoperative conditions, recovery times, postanesthesia recovery scores and postoperative outcomes were recorded. Conclusion. The right selection of the cases lead to the success of the laparoscopic interventions.

KEY WORDS: LAPAROSCOPIC SURGERY, OVARIAN TUMORS

Correspondence to: Laura Cotîrleţ Gavril, MD, PhD student “Gr.T.Popa” University of Medicine and Pharmacy Iaşi, e-mail: