Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2017, Vol. 44 Issue (6): 824-833    DOI: 10.12891/ceog3736.2017
Review Previous articles | Next articles
Deep neuromuscular blockade in gynecological laparoscopic surgery: a review
N. Kathopoulis1, *(), D. Valsamidis2, E. Stamatakis2, S. Athanasiou1, T. Grigoriadis1, A. Protopapas1
1 1st Department of Obstetrics and Gynaecology, Alexandra Hospital, University of Athens, Athens, Greece
2 Department of Anaesthesiology, Alexandra Hospital, University of Athens, Athens, Greece
Download:  PDF
Export:  BibTeX | EndNote (RIS)      
Abstract  
Minimally invasive surgery has achieved remarkable progress during the last three decades in the field of operative gynecology. The intrinsic advantages of laparoscopy i.e. shorter operative time, less abdominal trauma, faster recovery and shorter hospitalization, combined with new advances in instrumentation, energy sources, and operative techniques, contributed to this shift towards laparoscopy for the operative management of a variety of gynecological conditions. One of the most important prerequisites for an effective and complications-free laparoscopic operation is the need to constantly maintain a good operative field. Concomitant advances in the area of anesthesia, like the use of objective neuromuscular monitoring and the introduction of new reversal agents have allowed clinicians to apply deep neuromuscular blockade (NMB) during laparoscopic operations with markedly reduced postoperative residual curarization. This evolution appears to contribute significantly to the establishment of a good operative field, especially during advanced and lengthy laparoscopic procedures, maintaining optimal conditions even when low-pressure laparoscopy (eight mmHg) is performed. The aim of this review is to present the principles of deep NMB and examine the possible benefits of its use during laparoscopy.
Key words:  Laparoscopy      Deep neuromuscular blockade      Gynaecology      Neuromuscular monitoring      Operating field improvement     
Published:  10 December 2017     
*Corresponding Author(s):  N. KATHOPOULIS     E-mail:  nickatho@gmail.com

Cite this article: 

N. Kathopoulis, D. Valsamidis, E. Stamatakis, S. Athanasiou, T. Grigoriadis, A. Protopapas. Deep neuromuscular blockade in gynecological laparoscopic surgery: a review. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(6): 824-833.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog3736.2017     OR     https://ceog.imrpress.com/EN/Y2017/V44/I6/824

[1] A. Lavinia Cozlea, E. Előd Élthes, Á. Török, M. Emil Capîlna. Clinical presentation, risk factors and management of ectopic pregnancy: a case-control study[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 914-919.
[2] Y. Wang, F.Y. Luo, Y.D. Xia, L. Mei, L. Xie, H.X. Liu. Clinical analysis of 211 cases of cesarean scar pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 948-952.
[3] R. T. Ratner, A. Harris, J. Tsaltas, N. Goyal, M. Davies-Tuck, H. Najjar, O. Barel. An eight-year retrospective analysis of laparoscopic surgery for endometriosis, outcomes and complications in a large multicenter unit[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(5): 699-703.
[4] K. Drusany Starič, V. Trajkovik, H. Belani, A. Vitagliano, P. Bukovec. Smart phone applications for self-monitoring of the menstrual cycle: a review and content analysis[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(5): 731-735.
[5] A. Pontis, L. Nappi, F. Sorrentino, S. Angioni. Differential diagnosis of adenomyosis: the role of hysteroscopy and laparoscopy[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(4): 511-515.
[6] M. Simonsen, L. Martins Campbell, R. Moretti Marques. Uterine manipulator – low budget option[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(4): 575-577.
[7] N.N. Chavan, R. Deshmukh, N. Raj. An observational study on diagnosis and management of adnexal masses in pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(4): 583-586.
[8] A. Daniilidis, K. Chatzistamatiou, M. Siskou, Ü. Kalkan, T. Theodoridis, S. Angioni. Vault prolapse occurrence after total laparoscopic hysterectomy and total abdominal hysterectomy performed for benign indications, is there a difference? A systematic review of the literature[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(2): 183-185.
[9] S. Matsuoka, H. Tsujioka, M. Ando, Y. To, T. Koyanagi, H. Kondo, F. Eguchi. Anti-N-methyl-D-aspartate receptor encephalitis associated with a tiny ovarian teratoma diagnosed by exploratory laparoscopy: report of two cases[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(2): 305-308.
[10] M. Naveiro-Fuentes, A. Rodríguez-Oliver, M.T. Aguilar-Romero, T. María, A. González-Paredes, J. Fernández-Parra, J. Mozas-Moreno. Vaginal and laparoscopic hysterectomy. Which one is better? Critical analysis of complications associated with both routes[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(6): 845-849.
[11] Lin-lin Guan, Hua-li Wang, Lan-zhou Jiao. Treatment of uterine artery pseudoaneurysm by embolization or hysteroscopy combined with laparoscopy: two case reports[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(6): 959-962.
[12] Sun Young Jung, Suk Young Kim. Is it possible to early diagnose uterine rupture by ultrasound without common clinical signs during pregnancy following laparoscopic myomectomy?[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(4): 605-607.
[13] N. Sahly, A. Sahly, N. Al Mansouri, N. Al Sinani, S. Kafy. Major complications of laparoscopy: a 17-year follow up in a teaching hospital in Saudi Arabia[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(3): 400-404.
[14] Hongyan Gao, Ting Yuan, Yi Ding, Qing Wang, Jiming Chen. Leiomyomatosis peritonealis disseminate associated with recurrence: A case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(3): 470-475.
[15] Yin-Feng Li, Aizura-Syafinaz Adlan, Li-Li Gao, Mei-Ying Feng, Hai-Tin Yu, Shi Ru, Bao-Liang Lin. Modified abdominal wall suspension system in gasless laparoscopy: a clinical application[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(2): 262-265.
No Suggested Reading articles found!