ÖzetGenel anestezi ile birlikte torakal epidural anestezi uygulanarak başarılı batın operasyonları gerçekleştirildiği bilinmektedir. Sunumuzda, situs inversus totalisi olan ve laparoskopik kolesistektomi operasyonu geçirecek akut kolesistitli hastada uyguladığımız segmental torakal epidural anestezi vesilesiyle bu teknik literatür eşliğinde tartışılmıştır. (Ha se ki T›p Bül te ni 2014; 52: 53-5) Anahtar Kelimeler: Torakal epidural anestezi, laparoskopik kolesistektomi, cerrahi stress cevabı Abs tract Segmental epidural anesthesia induced by administering low doses of local anesthetics into mid-thoracic segments is successfully implemented in upper abdominal operations, such as cholecystectomy. In this paper, we present a patient with situs inversus who underwent laparoscopic cholecystecto my for acute cholecystitis under thoracic segmental epidural anesthesia and, we discuss this anesthetic technique in the light of the literature. (The Me di cal Bul le tin of Ha se ki 2014; 52: 53-5)
Sciatic and femoral nerve neuropathies are commonly encountered causes of lower extremity dysfunctions. The sciatic nerve originates from the L4-S3 spinal nerves of the lumbosacral plexus, and the femoral nerve from the L2-L4 roots of the lumbar plexus. Traumatic, compressive, ischemic, neoplastic or idiopathic factors can lead to neuropathies of these nerves. We report a case of a 17-year-old male patient undergoing right hemicolectomy surgery following an abdominal firearm injury and with weakness around the right hip, knee and ankle in the postoperative period and paresthesia in the right knee, lateral part of the leg and dorsum of the foot.
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