Ventral hernia repair under neuraxial anesthesia.

IF 0.6 4区医学 Q4 SURGERY

European Surgery-Acta Chirurgica Austriaca Pub Date : 2022-01-01 Epub Date: 2021-07-20 DOI:10.1007/s10353-021-00731-x

Paolo Germanò, Stefano Siboni, Pamela Milito, Gaetano Mautone, Marco Resta, Luigi Bonavina

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引用次数: 1

Abstract

Background: Acute strangulated ventral hernia is associated with operative morbidity and mortality. General anesthesia may increase the operative risk, especially in morbidly obese and COVID-19-positive individuals.

Methods: A 67-year-old woman with body mass index (BMI) 51 kg/m², hospitalized for SARS-CoV-2-related interstitial pneumonia and renal failure, presented with acute abdominal pain, nausea, vomiting, and abdominal tenderness secondary to giant ventral hernia strangulation.

Results: Due to the suspicion of vascular bowel compromise at contrast-enhanced CT scan, urgent open surgical repair surgery was performed under spinal anesthesia and Venturi mask support. There was no need for an intensive care unit (ICU) stay. Postoperative course was uneventful, and the patient was transferred to a rehabilitation center on postoperative day 10.

Conclusion: Although some anesthetists and surgeons may be reluctant to use regional anesthesia for both emergent and elective ventral hernia repair, this may represent an excellent option in obese patients with a high respiratory risk.

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轴向麻醉下腹疝修补术。

背景:急性绞窄性腹疝与手术发病率和死亡率相关。全身麻醉可能会增加手术风险，特别是在病态肥胖和covid -19阳性个体中。方法:一名67岁女性，体重指数(BMI) 51 kg/m2，因sars - cov -2相关性间质性肺炎和肾功能衰竭住院，表现为巨大腹疝绞窄致急性腹痛、恶心、呕吐和腹部压痛。结果:由于CT增强扫描怀疑血管肠受损，在脊髓麻醉和文丘里面罩支持下进行紧急开放手术修复。没有必要住进重症监护病房(ICU)。术后过程顺利，患者于术后第10天转至康复中心。结论:尽管一些麻醉师和外科医生可能不愿意在紧急和择期腹疝修补中使用区域麻醉，但这可能是具有高呼吸风险的肥胖患者的一个很好的选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Surgery-Acta Chirurgica Austriaca 医学-外科

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal European Surgery – Acta Chirurgica Austriaca focuses on general surgery, endocrine surgery, thoracic surgery, heart and vascular surgery. Special features include new surgical and endoscopic techniques such as minimally invasive surgery, robot surgery, and advances in surgery-related biotechnology and surgical oncology. The journal especially addresses benign and malignant esophageal diseases, i.e. achalasia, gastroesophageal reflux disease, Barrett’s esophagus, and esophageal adenocarcinoma. In keeping with modern healthcare requirements, the journal’s scope includes inter- and multidisciplinary disease management (diagnosis, therapy and surveillance).