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

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Elizabeth Jacob Merlin; Panse Neha

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Journal Paper

Paper Information

Journal: Archives of Anesthesiology and Critical Care Year:2021 | Volume:7 | Issue:4 Page(s): 285-288

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Information Journal Paper

Title

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

Author(s)

Elizabeth Jacob Merlin | Panse Neha | Issue Writer Certificate

Keywords

Bilateral lumbar hernia

Low dose spinal anaesthesia

Segmental epidural anesthesia

Segmental spinal anesthesia

Abstract

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.

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APA: Copy

Elizabeth Jacob, Merlin, & Panse, Neha. (2021). Rare Cases of Bilateral Lumbar Hernia: Anaesthesia Concerns and Lessons Learnt. ARCHIVES OF ANESTHESIOLOGY AND CRITICAL CARE, 7(4), 285-288. SID. https://sid.ir/paper/1010395/en

Vancouver: Copy

Elizabeth Jacob Merlin, Panse Neha. Rare Cases of Bilateral Lumbar Hernia: Anaesthesia Concerns and Lessons Learnt. ARCHIVES OF ANESTHESIOLOGY AND CRITICAL CARE[Internet]. 2021;7(4):285-288. Available from: https://sid.ir/paper/1010395/en

IEEE: Copy

Merlin Elizabeth Jacob, and Neha Panse, “Rare Cases of Bilateral Lumbar Hernia: Anaesthesia Concerns and Lessons Learnt,” ARCHIVES OF ANESTHESIOLOGY AND CRITICAL CARE, vol. 7, no. 4, pp. 285–288, 2021, [Online]. Available: https://sid.ir/paper/1010395/en

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