Rare Cases of Bilateral Lumbar Hernia: Anaesthesia Concerns and Lessons Learnt

Bilateral lumbar hernias are rare. There is a paucity of literature regarding the anaesthesia techniques used and challenges faced. In the present era of minimally invasive surgery, laparoscopy has gained name and fame and is the modality of choice for hernia repairs. Methods: We report a series of...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Merlin Elizabeth Jacob, Neha Panse
Formato:	article
Lenguaje:	EN
Publicado:	Tehran University of Medical Sciences 2021
Materias:	Bilateral lumbar hernia Low dose spinal anaesthesia Segmental epidural anesthesia Segmental spinal anesthesia Anesthesiology RD78.3-87.3 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/5079159910bd495f839bed621b6d4dae
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:5079159910bd495f839bed621b6d4dae
record_format	dspace
spelling	oai:doaj.org-article:5079159910bd495f839bed621b6d4dae2021-11-20T04:39:47ZRare Cases of Bilateral Lumbar Hernia: Anaesthesia Concerns and Lessons Learnt10.18502/aacc.v7i4.76352423-5849https://doaj.org/article/5079159910bd495f839bed621b6d4dae2021-10-01T00:00:00Zhttps://aacc.tums.ac.ir/index.php/aacc/article/view/355https://doaj.org/toc/2423-5849 Bilateral lumbar hernias are rare. There is a paucity of literature regarding the anaesthesia techniques used and challenges faced. In the present era of minimally invasive surgery, laparoscopy has gained name and fame and is the modality of choice for hernia repairs. Methods: We report a series of 4 cases of bilateral lumbar hernia operated in our institute, using 4 different anaesthesia techniques over a period of 2 years and 9 months with the aim to focus on the varied anaesthetic techniques and the advantages and disadvantages of each. Results: General anaesthesia supplemented with epidural anaesthesia is recommended for laparoscopic repair, while in very high risk cases, combined segmental spinal- epidural anaesthesia may be a better option. Low dose segmental spinal provides commendable cardiovascular stability. It is a useful alternative in patients with multiple comorbidities, cardiac and respiratory diseases and aids early recovery and ambulation. Conclusion: Irrespective of the type of anaesthesia technique administered, patients’ safety and comfort should be of prime importance, while maintaining optimum haemodynamics and physiology. Merlin Elizabeth JacobNeha PanseTehran University of Medical SciencesarticleBilateral lumbar herniaLow dose spinal anaesthesiaSegmental epidural anesthesiaSegmental spinal anesthesiaAnesthesiologyRD78.3-87.3Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENArchives of Anesthesia and Critical Care, Vol 7, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Bilateral lumbar hernia Low dose spinal anaesthesia Segmental epidural anesthesia Segmental spinal anesthesia Anesthesiology RD78.3-87.3 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Bilateral lumbar hernia Low dose spinal anaesthesia Segmental epidural anesthesia Segmental spinal anesthesia Anesthesiology RD78.3-87.3 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Merlin Elizabeth Jacob Neha Panse Rare Cases of Bilateral Lumbar Hernia: Anaesthesia Concerns and Lessons Learnt
description	Bilateral lumbar hernias are rare. There is a paucity of literature regarding the anaesthesia techniques used and challenges faced. In the present era of minimally invasive surgery, laparoscopy has gained name and fame and is the modality of choice for hernia repairs. Methods: We report a series of 4 cases of bilateral lumbar hernia operated in our institute, using 4 different anaesthesia techniques over a period of 2 years and 9 months with the aim to focus on the varied anaesthetic techniques and the advantages and disadvantages of each. Results: General anaesthesia supplemented with epidural anaesthesia is recommended for laparoscopic repair, while in very high risk cases, combined segmental spinal- epidural anaesthesia may be a better option. Low dose segmental spinal provides commendable cardiovascular stability. It is a useful alternative in patients with multiple comorbidities, cardiac and respiratory diseases and aids early recovery and ambulation. Conclusion: Irrespective of the type of anaesthesia technique administered, patients’ safety and comfort should be of prime importance, while maintaining optimum haemodynamics and physiology.
format	article
author	Merlin Elizabeth Jacob Neha Panse
author_facet	Merlin Elizabeth Jacob Neha Panse
author_sort	Merlin Elizabeth Jacob
title	Rare Cases of Bilateral Lumbar Hernia: Anaesthesia Concerns and Lessons Learnt
title_short	Rare Cases of Bilateral Lumbar Hernia: Anaesthesia Concerns and Lessons Learnt
title_full	Rare Cases of Bilateral Lumbar Hernia: Anaesthesia Concerns and Lessons Learnt
title_fullStr	Rare Cases of Bilateral Lumbar Hernia: Anaesthesia Concerns and Lessons Learnt
title_full_unstemmed	Rare Cases of Bilateral Lumbar Hernia: Anaesthesia Concerns and Lessons Learnt
title_sort	rare cases of bilateral lumbar hernia: anaesthesia concerns and lessons learnt
publisher	Tehran University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/5079159910bd495f839bed621b6d4dae
work_keys_str_mv	AT merlinelizabethjacob rarecasesofbilaterallumbarherniaanaesthesiaconcernsandlessonslearnt AT nehapanse rarecasesofbilaterallumbarherniaanaesthesiaconcernsandlessonslearnt
_version_	1718419773742645248

Rare Cases of Bilateral Lumbar Hernia: Anaesthesia Concerns and Lessons Learnt

Ejemplares similares