Objective: To evaluate the efficacity of local-paracervical anaesthesia in hysteroscopy and trans- cervical surgery. Design: Prospective study. Setting: Department of Obstetrics and Gynaecology, 1 st medical Faculty, Charles University, Pra- gue. Methods: In 1998 we performed 144 hysteroscopic procedures under local anaesthesia - paracervi- cal block. In 47 (32.6%) cases we performed transcervical surgery. As anaesthetic agent we used bupivacain (0.25%, Marcain, Astra) combined with an intravenous sedative - midazolam (Dor- micum, Hoffman-LaRoche). Results: In 130 (90.2%) cases patients evaluated the procedure as comfortable, in 7 (4.86%) cases the procedure caused discomfort and in 7 (4.86%) cases we used general anaesthesia. Conclusion: Paracervical anaesthesia is a safe method for hysteroscopy and transcervical surgery due to its minimal invasivity.

        Key words: hysteroscopy, paracervical anaesthesia, transcervical surgery