[Paracervical anesthesia in hysteroscopy and transcervical surgery]

To evaluate the efficacity of local-paracervical anaesthesia in hysteroscopy and transcervical surgery.

Prospective study.

Department of Obstetrics and Gynaecology, 1st medical Faculty, Charles University, Prague.

In 1998 we performed 144 hysteroscopic procedures under local anaesthesia--paracervical block. In 47 (32.6%) cases we performed transcervical surgery. As anaesthetic agent we used bupivacain (0.25%, Marcain, Astra) combined with an intravenous sedative--midazolam (Dormicum, Hoffman-LaRoche).

In 130 (90.2%) cases patients evaluated the procedure as comfortable, in 7 (4.86%) cases the procedure caused discomfort and in 7 (4.86%) cases we used general anaesthesia.

Paracervical anaesthesia is a safe method for hysteroscopy and transcervical surgery due to its minimal invasivity.