Spinal anaesthesia for a NOTES (Natural Orifice Transluminal Endoscopic Surgery) total hysterectomy in a pre-lung transplant patient : a case report


case report ; spinal ; COPD ; Notes

Published online: Mar 28 2022


L. Cavens (*), J. Baekelandt (**), P. Van de Putte (***), P. De Mulder (***)

(*) Department of Anesthesia, UZ Leuven, Herestraat 49, 3000 Leuven, Belgium.
(**) Department of Obstetrics and Gynaecology, Imeldaziekenhuis, Imeldalaan 9, 2820 Bonheiden, Belgium.
(***) Department of Anesthesia, Imeldaziekenhuis, Imeldalaan 9, 2820 Bonheiden, Belgium.


We describe the first case of a vaginal NOTES total hysterectomy under spinal anesthesia in the head- down position without sedation or additive analgesia in a patient with end-stage COPD. This report adds to the growing evidence that neuraxial techniques are a good alternative for general anesthesia in select cases for laparoscopic surgery.