Mesh apical prolapse surgery under local anaesthesia
IUGA Academy. Halaska M. Jun 30, 2018; 213264; 146 Topic: Pelvic Organ Prolapse
Michael Halaska
Michael Halaska

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Mesh apical prolapse surgery under local anaesthesia

Halaska, M1; Maxova, K2; Lincova, M2

1: Charles University; 2: Charles University

Introduction: Increasing life expectancy of our patients means the higher prevalence of surgery for vaginal prolapse. This pathology requieres special access with respect to the local tissues, special operation techniques, sparing medication; resulting in early verticalisation. That all offers the local anaesthesia.

Objective: To present the techniques of vaginal repair of advanced pelvic organ prolapse including mesh suspension of central compartment under the local anaesthesia.

Methods: Since 2011 we use local anaesthesia with diluted artican+epinephrine offering this sparing method to all the patients who are willing to cooperate. Among the arguments we present are: sparing technique, less bleeding, shorter operation time and quick recovery with less painkillers, with no or low pain scores.

Results: So far we have used this type of anaesthesia - with negative or low scores of VAS- in 356 patients. Lately, we decided to use local anaesthesia also in central repair anchoring the mesh in sacrospinous ligaments. Our presentation includes central mesh suspension video.

Conclusions: Local anaesthesia in vaginal surgery approved to be a feasible method shortening the operation time, minimizing blood loss and sparing the cognitive functions in our young and geriatric patients.


Work supported by industry: no.

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