Feasibility of laparoscopic pyloromyotomy under spinal anesthesia

Islam, Saleem; Larson, Shawn D.; Kays, David W.; Irwin, Maria; Carvallho, Norman

doi:10.1016/j.jpedsurg.2014.02.083

Cited by 20 publications

(15 citation statements)

References 24 publications

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“…Two conventional laparoscopic working instruments [3-mm or 5-mm] was introduced without tocars in similar way as the scope into the finger tips of the glove without trocar. We also used the XX-Small wound protector retractor [WPR] [(Alexis® XXS] in some cases as described by Martynov and Lacher [12]. The latex surgical glove was fixed and secured to the outer ring of the WPR and pneumoperitoneum was established, and the abdomen was insufflated with CO 2 by gas flows at 4L per minute with intra-abdominal pressure ranging between 9 and 12 mmHg according to the age and weight of patient under surgery.…”

Section: Modified Single-port Glove Laparoscopic Appendectomy (Gsplap)mentioning

confidence: 99%

“…Although few reports documented performance of laparoscopic surgery under regional anesthesia, recently, there are increasing reports about the usage of spinal anaesthesia (SA) for different procedures such as; inguinal hernia repair, cholecystectomy, even pyloromyotomy, and ductus arteriosus ligation. In general, however, there is plenty of reports describing the usage of SA in pediatric laparoscopic procedures [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

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Modified glove single-port laparoscopic appendectomy versus conventional laparoscopic appendectomy in adolescent age under spinal anesthesia

et al. 2020

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Background The glove single-port laparoscopic appendectomy is a novel single incision laparoscopic technique (SILT) which is extremely cheaper than the other commercial devices. Objective This study aimed to compare conventional laparoscopic appendectomy (CLA) and glove single port laparoscopic appendectomy (GSPLAP) in adolescents performed under spinal anaesthesia (SA). Patients and Methods Forty-eight adolescents with uncomplicated appendicitis were included in the current study. All patients were randomized into 2 groups. Group A was operated upon by GSPLAP and group B, was operated upon using CLA. All cases were done under SA. Results Forty-eight adolescents were treated either by GSPLAP or LAP during the period from September 2017 to August 2018. They were 30 males and 18 females with a mean age 14.8 ± 2.2 years (range = 12-18 years). All procedures were completed laparoscopically without conversion. Only 2 cases of group A were converted to CLA. The mean operative time was 35.14 ± 12.14 min (range = 26-80 min) for CLA and 50.3 ± 11.2 min (range = 40-88 min) for GSPLAP. SA was successful in 44 cases [91.7%], while 4 patients [8.3%] were converted to general anaesthesia [GA]. Post SA headache was reported in 3 cases. Post-operative umbilical cellulitis occurred in two cases. Conclusion Our modification of Glove Single Port is technically feasible. The GSPLAP is a new SILT which is cheaper than other single incision laparoscopic devices in the market. This study proved that SA for laparoscopic appendectomy (LAp) is a good substitute of GA in adolescents.

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Section: Modified Single-port Glove Laparoscopic Appendectomy (Gsplap)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Modified glove single-port laparoscopic appendectomy versus conventional laparoscopic appendectomy in adolescent age under spinal anesthesia

et al. 2020

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“…Islam et al . retrospectively reviewed their experience with spinal anesthesia for LAP in 12 infants and compared it to 12 infants receiving general anesthesia. Although, no difference was noted in induction times, the interval time from the termination of surgery to operating room exit was significantly shorter for the spinal group than general anesthesia group (14 vs 28 min, P < 0.001).…”

Section: Regional Anesthesia Instead Of General Anesthesiamentioning

confidence: 99%

Perioperative care of infants with pyloric stenosis

Kamata

Cartabuke

Tobias

2015

Pediatric Anesthesia

125

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Pyloric stenosis (PS) is one of the most common surgical conditions affecting neonates and young infants. The definitive treatment for PS is surgical pyloromyotomy, either open or laparoscopic. However, surgical intervention should never be considered urgent or emergent. More importantly, emergent medical intervention may be required to correct intravascular volume depletion and electrolyte disturbances. Given advancements in surgical and perioperative care, morbidity and mortality from PS should be limited. However, either may occur related to poor preoperative resuscitation, anesthetic management difficulties, or postoperative complications. The following manuscript reviews the current evidence-based medicine regarding the perioperative care of infants with PS with focus on the preoperative assessment and correction of metabolic abnormalities, intraoperative care including airway management (particularly debate related to rapid sequence intubation), maintenance anesthetic techniques, and techniques for postoperative pain management. Additionally, reports of applications of regional anesthesia for either postoperative pain control or as an alternative to general anesthesia are discussed. Management recommendations are provided whenever possible.

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“…In light of this, the use of general anesthetic drugs in infants is avoided or surgery is delayed whenever possible 9 . Meanwhile, regional (spinal, epidural, and caudal) anesthesia is reported to have the same efficacy as general anesthesia while avoiding the potential anesthetic-related problems, and thus is generally preferred in infants, if applicable 5,9,[13][14][15][16] .…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic versus Open Inguinal Hernia Repair Is Feasible in Infants with Caudal Anesthesia and Spontaneous Respiration

et al. 2022

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Introduction: Minimally invasive surgery (i.e. laparoscopy) and minimally invasive anesthesia (i.e. caudal anesthesia with spontaneous respiration) have separately shown benefits for inguinal hernia repair in infants, yet to what degree these techniques can be combined remains unknown. This study investigated whether laparoscopy impacts the feasibility of performing caudal anesthesia with spontaneous respiration in infants. Methods: Prospectively collected data of all infants <12 months old and >3 kg weight who underwent laparoscopic indirect hernia repair (LAP) at our department from 2019 to 2021 were compared to a historical control-matched group of infants who underwent open repair (OPEN) from 2017 to 2021. We assessed the patients’ characteristics, anesthesia, and surgical data as well as intra- and post-operative complications. Results: 87 infants were included (LAP n=29, OPEN n=58). Caudal anesthesia with spontaneous respiration was feasible in 62.1% of cases (LAP n=55.2%, OPEN n=65.5%; n.s.). Neither group registered anesthetic intra- or post-operative complications. Sedatives were utilized in 97% of LAP patients versus 56.9% of OPEN patients (p<0.00001). The airway was secured with a laryngeal mask in 89.7% of patients during LAP versus 41.4% during OPEN (p<0.00001). No significant differences were found regarding the use frequency of opioids (48.3% LAP versus 34.5% OPEN; n.s.) or neuromuscular blockers (6.9% LAP versus 5.2% OPEN; n.s.). Conclusion: This is the first comparative study on caudal anesthesia and spontaneous respiration in infants undergoing laparoscopic versus open inguinal hernia surgery. Laparoscopy increased the need for ventilatory support and sedatives, but did not significantly impair the feasibility of caudal anesthesia and spontaneous respiration.

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Feasibility of laparoscopic pyloromyotomy under spinal anesthesia

Cited by 20 publications

References 24 publications

Modified glove single-port laparoscopic appendectomy versus conventional laparoscopic appendectomy in adolescent age under spinal anesthesia

Modified glove single-port laparoscopic appendectomy versus conventional laparoscopic appendectomy in adolescent age under spinal anesthesia

Perioperative care of infants with pyloric stenosis

Laparoscopic versus Open Inguinal Hernia Repair Is Feasible in Infants with Caudal Anesthesia and Spontaneous Respiration

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