Received April 23, 1999
Accepted October 16, 1999

The use of local anesthesia in laparoscopies with or without sedation, in substitution to the general anesthesia, has been increase in the last years. The possibility of work with small pneumoperitoneum, single pneumoperitoneum or using abdominal wall elevator, in association with new and more efficient drugs, have popularized this type of procedure. We describe a total of 774 laparoscopies that were performed o n 687 patients for GIFT(151), ZIFT (148), diagnosis (181), adenosis lises (79), tubal ligations (142), ovarian ovarian cysts (48), ooforectomies (18) and tubal pregnancies 07), from January 1989 through July 1997 using local anesthesia and intravenous sedation. Five minutes before the anesthesia we injected fentanyl 50 to 100 µg, atropin 0.5 mg, metoclopramide 10 mg intravenous in bolus, followed by 5-8ml of lidocaine 2% local anesthesia at the trocars sites. We maintained the anesthesia and sedation using propofol in bolus IV. Ali laparoscopies were well tolerated by the patients, there were no intraoperative or postoperative complication. The patient allowed home in 6hours after the surgery. We conclude that the use of local anesthesia with sedation in laparoscopies for small pelvic procedures is effective and safe.