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Ovarian Cystectomy and Detorsion

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lithotomy, Trendelenburg, arms tucked, left uterine displacement
Time : 1-2 hours (average)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Blocks : TAP
Considerations : Aspiration risk / Full stomach, PONV, Pregnancy / Obstetric

Anesthetic Approaches

1GETT
2GETT, TIVA, Propofol Drip
The Surgery

Entry - umbilical or Palmer's point access, CO2 pneumoperitoneum to a working pressure around 12-15 mmHg, then two or three lower-quadrant working ports; a uterine manipulator is placed in the...

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