Anesthesia techniques in outpatient surgery for procedures due to cervical dysplasia – experiences in Sestre milosrdnice UHC

Today, anesthesia and analgesia are so safe and effective that surgical procedures for cervical dysplasia can be performed as day surgery. Anesthesia techniques in day surgery are related to significantly less morbidity and mortality. Until 2015, all surgical procedures for cervical dysplasia at the...

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Autores principales:	Katarina Kličan-Jaić, Maja Pešić, Sandra Radović-Radovčić, Ivana Stojanović, Ante Vuković
Formato:	article
Lenguaje:	EN HR
Publicado:	Hrvatski liječnički zbor 2021
Materias:	uterine cervical dysplasia – surgery; conization – methods; biopsy – methods; anesthesia local – statistics and numerical data; anesthesia Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/d41c38fc93984660a5c1f1960d06108d
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spelling	oai:doaj.org-article:d41c38fc93984660a5c1f1960d06108d2021-12-01T13:16:37ZAnesthesia techniques in outpatient surgery for procedures due to cervical dysplasia – experiences in Sestre milosrdnice UHC10.26800/LV-143-1-2-40024-34771849-2177https://doaj.org/article/d41c38fc93984660a5c1f1960d06108d2021-02-01T00:00:00Zhttps://lijecnicki-vjesnik.hlz.hr/lijecnicki-vjesnik/anestezioloske-tehnike-u-jednodnevnoj-kirurgiji-za-zahvate-kod-displazije-vrata-maternice-iskustva-u-kbc-u-sestre-milosrdnice/https://doaj.org/toc/0024-3477https://doaj.org/toc/1849-2177Today, anesthesia and analgesia are so safe and effective that surgical procedures for cervical dysplasia can be performed as day surgery. Anesthesia techniques in day surgery are related to significantly less morbidity and mortality. Until 2015, all surgical procedures for cervical dysplasia at the Sestre milosrdnice University Hospital Center in Zagreb were performed under general anesthesia, with the average length of hospital stay longer than 30 hours and shorter than 72 hours. We have conducted retrospective research at the Department of Gynecology and Obstetrics for the period from January 2015 to December 2019, as cone biopsy procedures have been performed under local anesthesia since then. We have studied the frequency of local and regional anesthesia in relation to the type of cone biopsy, frequency of the type of anesthesia in relation to the age group and risk assessment of the patient undergoing anesthesia, and length of hospital stay in relation to the type of surgical procedure. In the period from 2015 to 2019, there was a steady increase in the share of local anesthesia in the total number of large loop excisions of the transformation zone (LLETZ) by 36.46 % (49/104 procedures in 2015 compared to 112/134 procedures in 2019). From October 2018, when the spinal block was introduced as a method of anesthesia for the cold knife cone biopsy, until December 2019, the share of the spinal block in the total number of cold knife cone biopsies increased by 17.29 % (2/65 procedures in 2018 compared to 11/54 procedures in 2019). Our research provides an analysis of the difference in the incidence of anesthesia techniques depending on the type of surgical procedure, risk assessment and age of the patient undergoing anesthesia for cervical dysplasia, and length of hospital stay in relation to the type of cone biopsy.Katarina Kličan-JaićMaja PešićSandra Radović-RadovčićIvana StojanovićAnte VukovićHrvatski liječnički zborarticleuterine cervical dysplasia – surgery; conization – methods; biopsy – methods; anesthesialocal – statistics and numerical data; anesthesiaMedicine (General)R5-920ENHRLiječnički vjesnik, Vol 143, Iss 1-2, Pp 25-30 (2021)
institution	DOAJ
collection	DOAJ
language	EN HR
topic	uterine cervical dysplasia – surgery; conization – methods; biopsy – methods; anesthesia local – statistics and numerical data; anesthesia Medicine (General) R5-920
spellingShingle	uterine cervical dysplasia – surgery; conization – methods; biopsy – methods; anesthesia local – statistics and numerical data; anesthesia Medicine (General) R5-920 Katarina Kličan-Jaić Maja Pešić Sandra Radović-Radovčić Ivana Stojanović Ante Vuković Anesthesia techniques in outpatient surgery for procedures due to cervical dysplasia – experiences in Sestre milosrdnice UHC
description	Today, anesthesia and analgesia are so safe and effective that surgical procedures for cervical dysplasia can be performed as day surgery. Anesthesia techniques in day surgery are related to significantly less morbidity and mortality. Until 2015, all surgical procedures for cervical dysplasia at the Sestre milosrdnice University Hospital Center in Zagreb were performed under general anesthesia, with the average length of hospital stay longer than 30 hours and shorter than 72 hours. We have conducted retrospective research at the Department of Gynecology and Obstetrics for the period from January 2015 to December 2019, as cone biopsy procedures have been performed under local anesthesia since then. We have studied the frequency of local and regional anesthesia in relation to the type of cone biopsy, frequency of the type of anesthesia in relation to the age group and risk assessment of the patient undergoing anesthesia, and length of hospital stay in relation to the type of surgical procedure. In the period from 2015 to 2019, there was a steady increase in the share of local anesthesia in the total number of large loop excisions of the transformation zone (LLETZ) by 36.46 % (49/104 procedures in 2015 compared to 112/134 procedures in 2019). From October 2018, when the spinal block was introduced as a method of anesthesia for the cold knife cone biopsy, until December 2019, the share of the spinal block in the total number of cold knife cone biopsies increased by 17.29 % (2/65 procedures in 2018 compared to 11/54 procedures in 2019). Our research provides an analysis of the difference in the incidence of anesthesia techniques depending on the type of surgical procedure, risk assessment and age of the patient undergoing anesthesia for cervical dysplasia, and length of hospital stay in relation to the type of cone biopsy.
format	article
author	Katarina Kličan-Jaić Maja Pešić Sandra Radović-Radovčić Ivana Stojanović Ante Vuković
author_facet	Katarina Kličan-Jaić Maja Pešić Sandra Radović-Radovčić Ivana Stojanović Ante Vuković
author_sort	Katarina Kličan-Jaić
title	Anesthesia techniques in outpatient surgery for procedures due to cervical dysplasia – experiences in Sestre milosrdnice UHC
title_short	Anesthesia techniques in outpatient surgery for procedures due to cervical dysplasia – experiences in Sestre milosrdnice UHC
title_full	Anesthesia techniques in outpatient surgery for procedures due to cervical dysplasia – experiences in Sestre milosrdnice UHC
title_fullStr	Anesthesia techniques in outpatient surgery for procedures due to cervical dysplasia – experiences in Sestre milosrdnice UHC
title_full_unstemmed	Anesthesia techniques in outpatient surgery for procedures due to cervical dysplasia – experiences in Sestre milosrdnice UHC
title_sort	anesthesia techniques in outpatient surgery for procedures due to cervical dysplasia – experiences in sestre milosrdnice uhc
publisher	Hrvatski liječnički zbor
publishDate	2021
url	https://doaj.org/article/d41c38fc93984660a5c1f1960d06108d
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Anesthesia techniques in outpatient surgery for procedures due to cervical dysplasia – experiences in Sestre milosrdnice UHC

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