The ways of prophylaxis complications of early after operating period during andoscopic operations in connectionwith women,s sterility

Cover Page


Cite item

Full Text

Abstract

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

About the authors

Mark Izrailevich Neymark

Altay State Medical University

professor, head of the faculty of anaestethesiology and reanimatology

Svetlana Anatolievna Haustova

Altay State Medical University

assistant professor of the faculty of anaestethesiology and reanimatology

Elene Alexandrovna Marcova

Altay State Medical University

assistant professor of the faculty of obstetrics and gynaecology

Tatiana Alexandrovna Kuzhnetsova

Altay State Medical University

assistant professor of the faculty of obstetrics and gynaecology

References

  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.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2012 Neymark M.I., Haustova S.A., Marcova E.A., Kuzhnetsova T.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).