Book contents
- Diagnostic and Operative Hysteroscopy
- Diagnostic and Operative Hysteroscopy
- Copyright page
- Dedication
- Contents
- Videos
- Contributors
- Chapter 1 An Introduction to Hysteroscopy
- Chapter 2 Anatomy and Physiology of the Uterus
- Chapter 3 Infrastructure and Instrumentation for Hysteroscopy
- Chapter 4 Diagnostic Hysteroscopy: Accuracy and Interpretation of Findings
- Chapter 5 Hysteroscopy Techniques and Treatment Settings
- Chapter 6 Analgesia and Anaesthesia for Hysteroscopy
- Chapter 7 Indications for Hysteroscopy
- Chapter 8 Hysteroscopic Electrosurgery
- Chapter 9 Complications of Hysteroscopic Surgery
- Chapter 10 Hysteroscopic Endometrial Polypectomy
- Chapter 11 Endometrial Ablation
- Chapter 12 Hysteroscopic Management of Fibroids
- Chapter 13 Hysteroscopic Sterilisation
- Chapter 14 Management of Congenital Uterine and Vaginal Anomalies
- Chapter 15 Hysteroscopic Management of Uterine Adhesions
- Chapter 16 Unusual Hysteroscopic Situations: Caesarean Niche and Retained Placental Tissue
- Chapter 17 Audit, Data Collection and Clinical Governance in Hysteroscopy
- Chapter 18 Training in Hysteroscopic Skills
- Chapter 19 Research and New Developments in Hysteroscopy
- Index
- References
Chapter 6 - Analgesia and Anaesthesia for Hysteroscopy
Published online by Cambridge University Press: 10 September 2020
- Diagnostic and Operative Hysteroscopy
- Diagnostic and Operative Hysteroscopy
- Copyright page
- Dedication
- Contents
- Videos
- Contributors
- Chapter 1 An Introduction to Hysteroscopy
- Chapter 2 Anatomy and Physiology of the Uterus
- Chapter 3 Infrastructure and Instrumentation for Hysteroscopy
- Chapter 4 Diagnostic Hysteroscopy: Accuracy and Interpretation of Findings
- Chapter 5 Hysteroscopy Techniques and Treatment Settings
- Chapter 6 Analgesia and Anaesthesia for Hysteroscopy
- Chapter 7 Indications for Hysteroscopy
- Chapter 8 Hysteroscopic Electrosurgery
- Chapter 9 Complications of Hysteroscopic Surgery
- Chapter 10 Hysteroscopic Endometrial Polypectomy
- Chapter 11 Endometrial Ablation
- Chapter 12 Hysteroscopic Management of Fibroids
- Chapter 13 Hysteroscopic Sterilisation
- Chapter 14 Management of Congenital Uterine and Vaginal Anomalies
- Chapter 15 Hysteroscopic Management of Uterine Adhesions
- Chapter 16 Unusual Hysteroscopic Situations: Caesarean Niche and Retained Placental Tissue
- Chapter 17 Audit, Data Collection and Clinical Governance in Hysteroscopy
- Chapter 18 Training in Hysteroscopic Skills
- Chapter 19 Research and New Developments in Hysteroscopy
- Index
- References
Summary
Pain is subjective. The level of pain a person experiences is affected not only by the painful stimulus but also by the person’s psychological interpretation of the pain and previous experiences. Medical procedures are inevitably associated with some level of discomfort but, by using analgesic and anaesthetic medications appropriately, we can minimise the pain experienced. In the outpatient setting, pain is the main driver of procedure acceptability. When appropriate techniques and equipment are used, and when analgesic use is tailored to the patient and the procedure, most women deem outpatient hysteroscopic procedures acceptable. Although performing hysteroscopic procedures under general anaesthetic means that perioperative pain is not an issue, it is still important to recognise the possibility of post-operative pain and provide adequate analgesia to manage it accordingly. The aim of this chapter is to cover techniques that can minimise pain and to discuss the use of analgesic and anaesthetic medication for hysteroscopic procedures.
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- Diagnostic and Operative Hysteroscopy , pp. 72 - 82Publisher: Cambridge University PressPrint publication year: 2020
References
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