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Laparoscopic Excision of Endometriosis

Est. Duration: 2-3 hours

Summary

Last Updated: March 2025

General Anaesthesia Regional Anaesthesia

Airway:

Technique:

IV Induction TIVA Volatile

Procedure:

Last Updated: March 2025

Block

💉

Neuraxial Block
Spinal
bupivacaine + diamorphine

0.25% bupivacaine ( 1.4ml ) + diamorphine ( 0.6mg )

Induction

Drugs

propofol ( 150mg )
fentanyl ( 300mcg )
rocuronium ( 1mg/kg )

Other

Airway
ETT

Intra-op

Maintenance

propofol ( TCI ) + remifentanil ( TCI )
or
sevoflurane ( MAC 1.2 )

Analgesia

fentanyl ( 50-100mcg boluses )
magnesium sulphate ( 5g )
paracetamol ( 1g )
diclofenac ( 75mg )
Local anaesthetic infiltration by surgical team

Anti-emetics

ondansetron ( 4mg )
dexamethasone ( 6.6mg )

Other

Antibiotics as required
tranexamic acid ( 1g )

Notes

Lloyd-Davis with steep head down positioning