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Case Studies | Anaesthesiology | India | Volume 13 Issue 6, June 2024 | Rating: 4.8 / 10
Precision in Practice: Anesthetic Approach for Laparoscopic Hernia Repair in Aortic Regurgitation
Dr. Robba Grishma
Abstract: Background: Perioperative management of patients with congenital heart disease presents significant challenges for anesthesiologists. We describe a case of a patient scheduled for laparoscopic mesh repair for umbilical hernia who was recently diagnosed with aortic regurgitation, highlighting the management strategies employed to ensure safe anesthesia and surgical outcomes. Methods: A comprehensive preoperative assessment was conducted, focusing on the severity and etiology of the aortic regurgitation, along with assessment of ventricular function and overall cardiac status. A multidisciplinary team approach involving cardiologists, cardiac surgeons, and anesthesiologists was employed to formulate an optimal perioperative plan. Intraoperatively, careful monitoring of hemodynamic parameters, maintenance of adequate preload, and vigilant management of anesthesia were prioritized to minimize fluctuations in systemic vascular resistance and optimize cardiac output. Results: The patient underwent successful laparoscopic mesh repair under general anesthesia without complications. Intraoperative transesophageal echocardiography confirmed mild to moderate aortic regurgitation with preserved left ventricular function throughout the procedure. Postoperatively, the patient was monitored closely in the recovery room and subsequently transferred to the surgical ward in stable condition. Conclusion: Effective perioperative management of patients with congenital heart disease, particularly those with recently diagnosed aortic regurgitation undergoing non - cardiac surgery, requires meticulous planning and execution. A multidisciplinary team approach, comprehensive preoperative evaluation, intraoperative hemodynamic monitoring, and careful anesthetic management are crucial in achieving favorable outcomes and minimizing perioperative complications.
Keywords: aortic regurgitation, anesthesia, laparoscopy, erector spinae block, mesh repair
Edition: Volume 13 Issue 6, June 2024,
Pages: 1366 - 1367