Local Permeation Anaesthesia in Gynaecology: Efficient Pain Management Strategies

Aim. Analysis of the effectiveness and safety of local terminal anesthesia in gynecological practice using the example of two clinical observations. Key points. Local terminal anesthesia is an effective and safe method of anesthesia, widely used in modern gynecological practice in the performance of various diagnostic and therapeutic manipulations. This method involves the application of local anesthetic directly into the area of intervention, which allows to achieve an adequate level of anesthesia without general anesthesia. This strategy has several advantages, including the absence of the need for complex preoperative preparation, low risk of serious complications associated with general anesthesia, and a significant reduction in recovery time after the procedure. The effectiveness of local terminal anesthesia is due to the selective action of the anesthetic on the nerve endings in the area of application, which provides a temporary loss of sensation in the treated area. The described clinical observations confirm the possibility of safe and effective use of local terminal anesthesia in gynecological practice. Conclusion. The use of local terminal anesthesia provides effective anesthesia with minimal risk of complications, decreased recovery time and preservation of the patient's consciousness, which makes this method preferable for many outpatient procedures. Keywords: local anesthesia, terminal anesthesia, gynecological manipulations, vagina, vulva.