Оптимизация анестезиологического пособия При гинекологических операциях

Аннотация

In recent years, in the Department of gynecology, often performed extirpation of the uterus. This is due to the fact that drug therapy does not give the desired effect. Only according to the first clinic of Sammi only in 2017, constituent part of extirpation of the all 136 laparotomic operations, uterine fibroids accounts about for 46.3%. Purpose: was to study the effectiveness and safety of the method of anesthesia. Method: was to carry out various types of anesthetic support for identical operations and determine the most effective method of anesthesia. As a result: all methods ofanesthesiological support had an effective level of anesthesia. There was no special differentiation between different methods.Conclusion: The best parameter was the method of combined spinal-epidural anesthesia, which provides a good during of the anesthesia and protects the body of patients from surgical aggression. In addition, this method has a more stable hemodynamics, relative to the other two groups (total intravenous anesthesia and spinal anesthesia), which favorably affects the course of the operation.