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Human Reproduction, Vol 13, 588-590, Copyright © 1998 by Oxford University Press

ARTICLES

Appendectomy under local anaesthesia following conscious pain mapping with microlaparoscopy

OD Almeida Jr, JM Val-Gallas and B Rizk
Department of Obstetrics and Gynecology, University of South Alabama College of Medicine, Mobile, USA.

The appendix is an under-appreciated source of chronic pelvic pain. Laparoscopic evaluation of the appendix is limited without intra- operative patient feedback on the presence and absence of pain. New techniques using local anaesthesia with conscious sedation have enabled us to perform operative laparoscopic surgery while the patient is awake. We report the first two cases of microlaparoscopic appendectomies performed under local anaesthesia with conscious sedation following diagnosis obtained during conscious pain mapping.
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