Anaesthetic Management of Laparoscopic Morgagni Hernia Repair in a Patient with Coexisting Down Syndrome, Patent Foramen Ovale and Pectus Carinatum

被引:2
作者
Kozanhan, Betul [1 ]
Basaran, Betul [1 ]
Aygin, Feride [1 ]
Akkoyun, Ibrahim [2 ]
Ozmen, Sadik [1 ]
机构
[1] Konya Training & Res Hosp, Clin Anaesthesiol & Reanimat, Konya, Turkey
[2] Konya Training & Res Hosp, Clin Pediat Surg, Konya, Turkey
关键词
Morgagni hernia; patent foramen ovale; laparoscopy;
D O I
10.5152/TJAR.2016.13007
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
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.
引用
收藏
页码:44 / 46
页数:3
相关论文
共 11 条
  • [1] Congenital Morgagni's hernia: A national multicenter study
    Al-Salem, Ahmed H.
    Zamakhshary, Mohammed
    Al Mohaidly, Mohammed
    Al-Qahtani, Aayed
    Abdulla, Mohamed Ramadan
    Naga, Mohamed Ibrahim
    [J]. JOURNAL OF PEDIATRIC SURGERY, 2014, 49 (04) : 503 - 507
  • [2] Laparoscopic-assisted Versus Open Repair of Morgagni Hernia in Infants and Children
    Alqahtani, Aayed
    Al-Salem, Ahmed Hassan
    [J]. SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, 2011, 21 (01) : 46 - 49
  • [3] Bhattarai B, 2008, Nepal Med Coll J, V10, P199
  • [4] Associated malformations in Morgagni hernia
    Cigdem, Murat Kemal
    Onen, Abdurrahman
    Okur, Hanifi
    Otcu, Selcuk
    [J]. PEDIATRIC SURGERY INTERNATIONAL, 2007, 23 (11) : 1101 - 1103
  • [5] Surfactants reduce platelet-bubble and platelet-platelet binding induced by in vitro air embolism
    Eckmann, DM
    Armstead, SC
    Mardini, F
    [J]. ANESTHESIOLOGY, 2005, 103 (06) : 1204 - 1210
  • [6] Ozyurtkan MO, 2012, TORAKS CERRAHISI B, V3, P279
  • [7] Pennant J H, 2001, Anesthesiol Clin North Am, V19, P69, DOI 10.1016/S0889-8537(05)70212-1
  • [8] MORGAGNI HERNIAS DURING INFANCY - PRESENTATION AND ASSOCIATED ANOMALIES
    POKORNY, WJ
    MCGILL, CW
    HARBERG, FJ
    [J]. JOURNAL OF PEDIATRIC SURGERY, 1984, 19 (04) : 394 - 397
  • [9] Transoesophageal echocardiographic assessment of haemodynamic changes during laparoscopic herniorrhaphy in small children
    Sakka, SG
    Huettemann, E
    Petrat, G
    Meier-Hellmann, A
    Schier, F
    Reinhart, K
    [J]. BRITISH JOURNAL OF ANAESTHESIA, 2000, 84 (03) : 330 - 334
  • [10] CONGENITAL DIAPHRAGMATIC-HERNIA - A 20 YEAR EXPERIENCE
    SIMSON, JNL
    ECKSTEIN, HB
    [J]. BRITISH JOURNAL OF SURGERY, 1985, 72 (09) : 733 - 736