Hysteroscopic anesthesia method

Hysteroscopic surgery has become a common gynecological surgery in life. This surgery is generally used to treat cervical diseases, or for some women with miscarriage, hysteroscopy can also be used. However, because the patient will feel pain during the hysteroscopy, many people will take anesthesia before the operation. So what are the types of anesthesia for hysteroscopy?

Hysteroscopic surgery is a very common surgery. In the past, most anesthesia methods for hysteroscopic surgery were spinal anesthesia or spinal anesthesia. With the development of anesthesia technology, hysteroscopic surgery is currently required to be faster and shorter in time. General anesthesia is more commonly used in clinical practice. Patients are given laryngeal masks for ventilation anesthesia, which reduces the dosage of general anesthetics. This allows patients to recover faster after general anesthesia and avoids prolonged leg numbness or urinary retention due to spinal anesthesia. Based on the advantages of general anesthesia technology, such as its safety, rapid metabolism of drugs in the human body, and little trauma to the body, it is recommended that patients undergoing hysteroscopic surgery choose general anesthesia.

Hysteroscopic surgery includes hysteroscopic examination and necessary treatment. If the patient is suspected of having gynecological problems, a hysteroscopy is performed first. If abnormalities are found, such as the presence of polyps, the polyps are removed under the hysteroscopy and a pathological biopsy is performed. Intravenous anesthesia is usually chosen, which takes effect quickly and the patient can enter the anesthesia state in about 3-5 minutes. During hysteroscopy, intravenous anesthetics will be continuously pumped to keep the patient in a relatively deep state of sedation until the end of the operation. The anesthesiologist will adjust the anesthetic medication according to the duration of the operation, and the patient will not wake up or feel pain during the operation.

There are many options for anesthesia for hysteroscopic surgery. If the patient is nervous and uncooperative, general anesthesia can be used. General anesthesia can be intravenous anesthesia that retains spontaneous breathing, or laryngeal mask anesthesia. If hysteroscopic surgery requires time for exploration or treatment, and the patient is obese, it will be difficult for intravenous general anesthesia to allow the patient to maintain normal blood oxygen while maintaining spontaneous breathing. In this case, laryngeal mask anesthesia should be used. The patient is more comfortable, there is less stimulation to the airway and throat, the entire anesthesia management process is safer, and the patient's recovery after surgery will be smoother. For hysteroscopic surgery, hemi-spinal anesthesia can also meet the needs of the surgery, but it may cause urinary retention and lower limb numbness after the operation, and the observation time is long, which may be difficult for patients to accept. However, patients who receive intravenous general anesthesia or laryngeal mask general anesthesia can move freely after waking up, and the whole process is relatively comfortable, so general anesthesia is preferred.