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Spinal Anesthesia for Pediatric Laparoscopic Hernia Repair: A Case Report

Ramón Eizaga Rebollar1, María Victoria García Palacios2, Javier Morales Guerrero1

  • 1From the Department of Anesthesiology and Reanimation, Puerta de Mar University Hospital, Cádiz, Spain.

A&A Practice
|June 1, 2018
PubMed

Insights

Spinal anesthesia offers a safe and practical approach for infant surgeries, reducing complications and recovery time. This method proved effective in an ex-premature infant undergoing laparoscopic inguinal hernia repair.

Area of Science:

  • Pediatric Anesthesiology
  • Minimally Invasive Surgery

Background:

  • Spinal anesthesia is a safe and effective anesthetic technique for infants and toddlers.
  • It offers perioperative advantages such as reduced cardiorespiratory instability and apnea.
  • Faster recovery times, including earlier feeding, are also noted.

Purpose of the Study:

  • To evaluate the feasibility and safety of spinal anesthesia for laparoscopic inguinal hernia repair in an ex-premature infant.
  • To assess perioperative outcomes and complications associated with this anesthetic technique in pediatric patients.

Main Methods:

  • Case report of an ex-premature infant undergoing laparoscopic inguinal hernia repair.
  • Spinal anesthesia was administered with a target sensory level.
  • Procedure involved laparoscopic approach with controlled pneumoperitoneum pressure and operative time.

Main Results:

  • The infant remained calm and hemodynamically stable throughout the procedure and recovery.
  • The surgery was uneventful, with no reported complications.
  • Successful laparoscopic inguinal hernia repair was achieved under spinal anesthesia.

Conclusions:

  • Spinal anesthesia is a practical and safe option for pediatric laparoscopic surgery, including inguinal hernia repair.
  • Feasibility is demonstrated when pneumoperitoneum pressure is limited to 8 mm Hg and operative time to 60 minutes.
  • Maintaining a sensory level at T10 or higher is recommended for successful outcomes.

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