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Laparoscopically assisted gamete intrafallopian transfer with local anesthesia and intravenous sedation
S L Padilla1, K Dugan, V Maruschak
1Fertility Center of Maryland, Baltimore, Maryland, USA.
Objective:
To determine the length of procedure, length of recovery, patient tolerance, complications, and pregnancy rate (PR) of laparoscopically assisted GIFT performed during local anesthesia with i.v. sedation.
Design:
A retrospective study.
Setting:
Freestanding private ambulatory surgical center.
Patients:
Thirty-one consecutive couples with infertility.
Interventions:
Laparoscopically assisted GIFT during local anesthesia with i.v. sedation.
Main Outcome Measures:
Surgery time, recovery time, patient tolerance, PR, miscarriage rate, and complications.
Results:
Cannulation of at least one fallopian tube was achieved successfully in all patients. The average surgery time was 64 +/- 12 minutes (mean +/- SD). The average recovery time was 92 +/- 30 minutes. The PR was 39% with an ongoing PR of 32%. There were no intraoperative or postoperative complications.
Conclusion:
Local anesthesia with IV sedation for GIFT using a two-puncture laparoscopic technique was well tolerated by the patients. Our ongoing PR of 32% compares very favorably with other series using general anesthesia.