Ventral hernia repair under neuraxial anesthesia
Paolo Germanò1, Stefano Siboni1, Pamela Milito1
1Department of Biomedical Sciences for Health, IRCCS Policlinico San Donato, Division of General and Foregut Surgery, University of Milan, Piazza Malan 1, 20097 San Donato Milanese (Milano), Italy.
European Surgery : ACA : Acta Chirurgica Austriaca
|July 26, 2021
Summary
Spinal anesthesia is a safe and effective option for emergent ventral hernia repair in high-risk obese patients. This approach minimizes operative risks associated with general anesthesia, leading to favorable outcomes.
Area of Science:
- Surgical innovation
- Anesthesiology
- Obesity medicine
Background:
- Acute strangulated ventral hernia carries significant risks, including operative morbidity and mortality.
- General anesthesia poses increased risks for morbidly obese patients and those with COVID-19.
Purpose of the Study:
- To evaluate the safety and efficacy of spinal anesthesia for emergent ventral hernia repair in a high-risk obese patient.
Main Methods:
- A 67-year-old female with a BMI of 51 kg/m² and SARS-CoV-2 pneumonia underwent urgent open surgical repair.
- The procedure was performed under spinal anesthesia with Venturi mask support, avoiding general anesthesia.
Main Results:
- The patient's postoperative course was uneventful, with no intensive care unit (ICU) stay required.
- Successful surgical repair was achieved, and the patient was discharged to a rehabilitation center on postoperative day 10.
Conclusions:
- Regional anesthesia, specifically spinal anesthesia, is a viable and excellent alternative for emergent ventral hernia repair in obese patients with high respiratory risk.
- This approach can mitigate the risks associated with general anesthesia in this patient population.
Keywords:
Enhanced recoveryPostoperative painSARS-CoV‑2 infectionSpinal anesthesiaStrangulated herniaMore Related Videos
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