Publication:

A comparative review of intra-operative hemodynamic changes in patients undergoing vaginal surgeries using tumescent anaesthesia vs conventional techniques

Background The objective was to assess intra-operative hemodynamic changes in patients undergoing vaginal surgeries using tumescent anaesthesia vs conventional techniques.

Methods Study was carried out on 200 patients attending the Obst. & Gynae. Dept. of S.N. Medical College, Agra. According to randomization they were divided into 2 groups: group-a: include 100 patients undergoing vaginal surgery using conventional techniques and group-b: include 100 patients undergoing vaginal surgery using tumescent anaesthesia (25 mol of 2% lignocaine and .5 ml eg. Adrenaline (1:1000 conc.) ease and duration of surgery, blood loss, hemodynamic changes during surgery were recorded and comparison drawn and analysed by statistical analysis.

Results In our study, time required for completion of surgery in group-a was 21-35 min as in group-b it was 36-50 min. More number of cases had blood loss 100 ml (90%0. No significant change in mean blood pressure and heart rate between both groups (p>0.05).

Conclusion Tumescent anaesthesia is on safe approach which reduces time of surgery and blood loss during surgery with no significant changes in haemodynamic variables.