Gynaecological surgery

Lichtiger, M., Landa, J.F. and Hirsch, J.A. (1975). Velocity of tracheal mucus in anesthetized women undergoing gynaecologic surgery. Anesthesiology 42 753-756. 

Bone ME, Wilkinson DJ, Young JR, McNeil J, Charlton S. (1990). Ginger root—a new antiemetic. The effect of ginger root on postoperative nausea and vomiting after major gynaecological surgery. Anaesthesia. 45(8) 669-71. 

Gynaecological surgery, because the vagina contains Bacteroides spp and other anaerobes, streptococci and coliforms (metronidazole and a cephalosporin are often used). 

Postoperative nausea and vomiting (PONV) is common after laparotomy and major gynaecological surgery, e.g., abdominal hysterectomy The use of propofol, particularly when given to maintain anaesthesia, has dramatically reduced the incidence of PONV. Antiemetics, such as cyclizine, metoclo-pramide, and ondansetron, may be helpful. 

Tubocurarine can cause release of histamine by direct mast cell degranulation which can result in systemic effects, such as cutaneous flushing, local wheal and flare formation, hypotension, and occasionally bronch-ospasm. Preoperative oral terfenadine 60 mg + ranitidine 150 mg attenuated the reduction in blood pressure but not cutaneous flushing after the administration of tubocurarine and morphine in 60 women undergoing elective gynaecological surgery in a placebo-controlled study (122). 

Woolner DF, Gibbs JM, Smeele PQ. Clinical comparison of atracurium and alcuronium in gynaecological surgery. Anaesth Intensive Care 1985 13(l) 33-7. 

Nelskyla K, Korttila K, Yli-Hankala A. Comparison of sevoflurane-nitrous oxide and propofol-alfentanil-nitrous oxide anaesthesia for minor gynaecological surgery. Br J Anaesth 1999 83(4) 576-9. 

Guaschino S, De Santo D, De Seta F. New perspectives in antibiotic prophylaxis for obstetric and gynaecological surgery. J Hosp Infect 2002 50(suppl A) S13-16. 

Sturlese E, Retto G, Pulia A, et al. Benefits of antibiotic prophylaxis in laparoscopic gynaecological surgery. Clin Exp Obstet Gynecol 1999 26 217-218. 

Obstetrics and gynaecology surgeries, such as C-sections where excellent cosmetic outcomes are desired, as well as enabling new mothers to shower immediately and move about without the discomfort of staples or sutures" ... 

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