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Laparoscopic Sleeve Gastrectomy under Regional Anesthesia: First Case Reported in Italy.

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Summary

This case report details the first successful sleeve gastrectomy in Italy using spinal anesthesia. This regional anesthesia approach for bariatric surgery offers a safe alternative to general anesthesia, improving patient recovery.

Keywords:
Awake bariatric surgeryLaparoscopic sleeve gastrectomyObesityRegional anesthesiaSpinal anesthesia

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Area of Science:

  • Bariatric Surgery
  • Anesthesiology
  • Minimally Invasive Surgery

Background:

  • Sleeve gastrectomy is a common bariatric procedure.
  • Obese patients undergoing surgery face increased perioperative risks.
  • General anesthesia poses specific challenges in bariatric patients.

Observation:

  • A 46-year-old female patient with a BMI of 38 kg/m2 and moderate Obstructive Sleep Apnea Syndrome underwent sleeve gastrectomy.
  • The procedure was successfully performed under spinal anesthesia (regional anesthesia).
  • Patient sedation was monitored using the Ramsey scale (score: 2).

Findings:

  • The patient experienced no pain or respiratory complications post-procedure.
  • Regional anesthesia facilitated a favorable outcome and enhanced postoperative recovery.
  • This demonstrates the safety and feasibility of spinal anesthesia for sleeve gastrectomy.

Implications:

  • This case highlights regional anesthesia as a viable alternative to general anesthesia in bariatric surgery.
  • The use of regional anesthesia in laparoscopic procedures offers improved patient safety, satisfaction, and recovery.
  • This successful case contributes to the growing evidence supporting regional anesthesia for bariatric procedures.