Laparoscopic Excision of Endometriosis

General Anaesthesia Regional AnaesthesiaDuration2-3 hoursUpdatedJun 2026

NeuraxialSpinal

0.25% bupivacaine1.4ml

diamorphine0.6mg

Drugs

propofol150mg
fentanyl300mcg
rocuronium1mg/kg

Other

AirwayETT

Maintenance

propofolTCI + remifentanilTCI
or
sevofluraneMAC 1.2

Analgesia

fentanyl50-100mcg boluses
magnesium sulphate5g
paracetamol1g
diclofenac75mg
Local anaesthetic infiltration by surgical team

Anti-emetics

Lloyd-Davis with steep head down positioning

For reference only. Always check doses against the BNF and your local protocols, and adapt to the patient in front of you. Gas Cookbook is community-shared guidance, not medical advice; clinical responsibility stays with you.

Procedure

Spinal

Technique

IV Induction TIVA Volatile

By Jeremy Chui

ondansetron4mg

dexamethasone6.6mg

Other

Antibiotics as required
tranexamic acid1g

Block

Induction

Intra-op

Notes