Anaesthetic management of laparoscopic pyloromyotomy for infantile hypertrophic pyloric stenosis: A retrospective study of 109 cases

Autor: Chandrika Y Ramavakoda, Bhargavi Sanket, Madhavi Nishtala
Rok vydání: 2016
Předmět:
Zdroj: Indian Journal of Clinical Anaesthesia. 3:16
ISSN: 2394-4994
2394-4781
DOI: 10.5958/2394-4994.2016.00003.2
Popis: Anaesthesia for laparoscopic pyloromyotomy poses multiple challenges. We have analysed our experience of anaesthetizing these infants by describing the perioperative events statistically in order to improve our anaesthetic technique. Pre-operative records, demographic details, intraoperative and post operative records of all cases of laparoscopic pyloromyotomy performed over a period of 5 years in a tertiary care unit were collected and reviewed. A statistical analysis of demographic details, preoperative clinical features with emphasis on metabolic derangements, adverse events during surgery and in the post operative period was done. We observed a combined intraoperative and post operative complication rate of 20% with no occurrence of mortality. Maximum morbidity post operatively was due to the development of emesis seen in 8 children (7.3%).
Databáze: OpenAIRE