VAGINAL CORRECTION OF PELVIC ORGAN RELAXATION USING LOCAL-ANESTHESIA

Objective: To describe the technique and complications of vaginal repa ir of advanced pelvic organ prolapse using intravenous sedation, puden dal nerve block, and local anesthesia. Methods: A retrospective review of the gynecologic surgical records of 20 patients was performed. Pat ient demographics, surgical procedure, surgical time, estimated blood loss, and complication rate were examined. Results: All 20 patients re viewed had their operations completed without the need for general ane sthesia. The surgical procedures included three anterior colporrhaphie s, five anterior and posterior colporrhaphies, eight vaginal enterocel e repairs with anterior and/or posterior repair, and four LeFort parti al colpocleises. General anesthesia was contraindicated in all patient s. Patients had a mean age of 80 years (range 67-92), a mean parity of 2.7, a mean estimated blood loss of 153 mt, and a mean hospital stay of 2.1 days. One intraoperative and three postoperative complications were reported. Conclusion: All 20 patients had successful surgical rep air under local anesthesia without the need for general induction. Sur gical correction of severe pelvic organ relaxation can be performed ra pidly and safely using local anesthesia, thus limiting the potential r isks of general anesthesia.