Jember Medical Journal

Anesthetic Management of Laparoscopic Surgery on a Pediatric Patient: Case Report

Arinie Awindya Lubis
Bachelor in Medicine, Jember University Faculty of Medicine – dr. Soebandi Regional Hospital Jember, Indonesia

Taufiq Gemawan
Anesthesia and Intensive Care Department, Jember University Faculty of Medicine – dr. Soebandi Regional Hospital Jember, Indonesia

Adelia Handoko
Faculty of Medicine, University of Jember, Sumbersari, Jember, Indonesia

DOI: https://doi.org/10.19184/jembermedicaljournal.v3i2.1160

Abstract

Inguinal hernia is an opening on myofascial oblique muscle and transversal muscle or the failure of Nuck canal or processus vaginalis during the gestation week which allows herniation of intra-abdominal or extraperitoneal organ. A 5-year-old child was diagnosed with a left lateral inguinal hernia. The results of the inguinal ultrasound showed movement and movement of the intestines in the left inguinal area through a defect measuring approximately 2.96 centimeters. The patient was planned to undergo laparoscopic high ligation hernia. Laparoscopic technique in adult commonly applied with special consideration. However, the practice in pediatric patient could be more challenging for anesthesiologist. Although laparoscopic surgery is less invasive it could cause more stress due to the pressure of the intra-abdominal pneumoperitoneum by CO2 that is done during the procedure, which then causes hypercapnea due to the absorption of CO2, the decrease of tidal volume, and the decrease of end-tidal volume. Considering pediatric’s different physiology compared to adult and the risks of laparoscopic surgery, special anesthesia management should be conducted.

Keyword: inguinal hernia, laparoscopy, pediatric anesthesia

REFERENCE

Bhattarai, R., & Hamal, P. K. (2021). Comparison of Fentanyl-Propofol and Ketamine-Propofol Combination in Induction and Maintenance with Intravenous Anesthesia for Short Surgical Procedures at Moderate Elevations. In Journal of Nepal Health Research Council (Vol. 18, Issue 4, pp. 769–775). https://doi.org/10.33314/jnhrc.v18i4.3323
Dave, N. M. (2019). Premedication and Induction of Anaesthesia in paediatric patients. In Indian Journal of Anaesthesia (Vol. 63, Issue 9, pp. 713–720). https://doi.org/https://doi.org/10.4103/ija.ija_491_19
Joon, P., Mandelia, A., Dhiraaj, S., Singh, T. K., Shamshery, C., & Mishra, P. (2024). Physiological and Anesthetic Considerations of Safe and Optimal Pneumoperitoneal Pressures for Laparoscopic Surgeries in Children. In Journal of Indian Association of Pediatric Surgeons (Vol. 29, Issue 1, pp. 13–18). https://doi.org/https://doi.org/10.4103/jiaps.jiaps_87_23
Lai, H. C., Huang, Y. H., Lu, C. H., Hung, N. K., Wong, C. S., & Wu, Z. F. (2020). Comparison of Anesthesia-Controlled Operating Room Time Between Propofol-Based Total Intravenous Anesthesia and Desflurane Anesthesia in Open Liver Resection: A Retrospective Study. Asian Journal of Anesthesiology, 58(2), 64–71. https://doi.org/10.6859/aja.202006_58(2).0004
Maat, S., Dreuning, K., Nordkamp, S., van Gemert, W., Twisk, J., Visschers, R., van Heurn, E., & Derikx, J. (2021). Comparison of intra- and extra-corporeal laparoscopic hernia repair in children: A systematic review and pooled data-analysis. Journal of Pediatric Surgery, 56(9), 1647–1656. https://doi.org/10.1016/j.jpedsurg.2021.01.049
Maharani, V., Utariani, A., Andriyanto, L., & Harjono, B. (2021). The Length Of Stay In Patients Undergoing Diagnostic MRI And CT-Scan With Intravenous Anesthesia At Outpatient Clinic Dr. Soetomo General Hospital: An Overview. Jurnal Ilmiah Kesehatan, 14(02), 97–102. https://doi.org/https://doi.org/10.33086/jhs.v14i2.1748
Olesen, C. S., Andresen, K., Öberg, S., & Rosenberg, J. (2019). Laparoscopic versus open repair of groin hernias in children: a systematic review and meta-analysis. Surgical Endoscopy, 33(7), 2050–2060. https://doi.org/10.1007/s00464-019-06740-y
Spinelli, G., Vargas, M., Aprea, G., Cortese, G., & Servillo, G. (2016). Pediatric anesthesia for minimally invasive surgery in pediatric urology. Translational Pediatrics, 5(4), 214–221. https://doi.org/10.21037/tp.2016.09.02
Stabilini, C., van Veenendaal, N., Aasvang, E., Agresta, F., Aufenacker, T., Berrevoet, F., Burgmans, I., Chen, D., de Beaux, A., East, B., Garcia-Alamino, J., Henriksen, N., Köckerling, F., Kukleta, J., Loos, M., Lopez-Cano, M., Lorenz, R., Miserez, M., Montgomery, A., … Simons, M. (2023). Update of the international HerniaSurge guidelines for groin hernia management. BJS Open, 7(5), 1–38. https://doi.org/10.1093/bjsopen/zrad080

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Published
November 20 , 2024

Issue
Vol. 3 No. 2 (2024)

Section
Case Report

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