Anaesthetic management of laparoscopic morgagni hernia repair in a patient with coexisting down syndrome, patent foramen ovale and pectus carinatum Down sendromu, patent foramen ovale ve pektus karinatus birlikteliği olan hastada laparoskopik morgagni herni onarımında anestezi yaklaşımı
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi, cilt.44, sa.1, ss.44-46, 2016 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 44 Sayı: 1
- Basım Tarihi: 2016
- Doi Numarası: 10.5152/tjar.2016.13007
- Dergi Adı: Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.44-46
- Anahtar Kelimeler: Morgagni hernia, patent foramen ovale, laparoscopy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Laparoscopic repair has several advantages with a minimally invasive surgical option for children with Morgagni hernias; however, a number of physiological sequelae results from pneumoperitoneum and insufflation. These physiological changes may be more significant in patients with a congenital heart disease. Perioperative detailed evaluation, meticulous monitorization and cooperation with a surgical team are important in cases with patent foramen ovale for the possible risk of the paradoxical gas embolism. We present the anaesthetic management of a patient with patent foramen ovale, Down syndrome and pectus carinatus who successfully underwent laparoscopic Morgagni hernia repair. Under a well-managed anaesthesia that prevented complications because of pneumoperitoneum, laparoscopic surgery would be safe enough for patients with Morgagni hernia having an associated congenital heart disease.