Abdominal emergency laparoscopy: Addressing anesthetic concerns for abdominal emergency surgery
1 Department of General Surgery, Ain Taya Hospital, Algiers, Faculty of Medicine of Algiers, Algiers University 1, Algeria.
2 Department of anesthesia, UH Tizi Ouzou, Algeria.
Research Article
World Journal of Advanced Research and Reviews, 2024, 22(02), 1450–1455
Publication history:
Received on 09 April 2024; revised on 17 May 2024; accepted on 19 May 2024
Abstract:
Introduction: CO2 insufflation during laparoscopic procedures leads to respiratory changes, making general anesthesia during laparoscopy considered high-risk anesthesia. In an emergency context, this risk is likely heightened.
The objective of our study is to evaluate the role of anesthesia during laparoscopy in non-traumatic emergency abdominal surgery.
Materials and Methods: Descriptive and prospective study conducted between February 2018 and October 2021, involving 337 patients undergoing laparoscopic surgery for non-traumatic acute abdominal emergencies.
Results: Of the 337 patients operated on, 190 were female (56.4%) and 147 were male (43.6%), with a mean age of 38 years ± 15 years (range 15-82 years). Comorbidities were noted in 109 patients (32.3%), with 39 patients (11.6%) having multiple concomitant comorbidities. Our patients were classified as ASA I in 74.8% (252 patients), ASA II in 22% (74 patients), and ASA III in 3.3% (11 patients). Perioperative morbidity and mortality related to anesthesia were nil. During the analytical study, we found no correlation between anesthesia duration and perioperative and postoperative morbidity and mortality (p value: 0.082) and no relationship between ASA stage and postoperative morbidity (p value = 0.392, chi-square test).
Conclusion: Emergency abdominal surgery via laparoscopy is feasible and safe from an anesthetic standpoint.
Keywords:
Acute abdomen; Anesthesia; Emergency laparoscopy
Full text article in PDF:
Copyright information:
Copyright © 2024 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0