Abstract
General anesthesia is the gold-standard method for vaginal natural orifice transluminal endoscopic surgery (vNOTES) hysterectomy though it can cause many side effects and is anxiety-inducing for some patients. We describe the first two cases of total hysterectomy with bilateral salpingectomy performed under spinal anesthesia in Wallonia (Belgium). This report aims to provide evidence that spinal anesthesia (SA) is a good alternative for general anesthesia (GA) in vNOTES hysterectomy. vNOTES hysterectomy performed under SA is manageable and safe. It allows better comfort for patients with less postoperative pain and PONV, and diminished use of painkillers.
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Copyright (c) 2024 Milana Dzeitova, Catherine Galopin, Sebastien Bartsch, Pascal Laurent, Vincent Goffioul, Aude Beliard