Laparoscopic ventral hernia repair in obese patients under spinal anesthesia.

Abstract

PURPOSE:

The aim of the present study was to evaluate the feasibility and efficacy of laparoscopic ventral hernia repair under spinal anesthesia in obese patients (BMI > 30 kg/m(2)).

METHODS:

From January 2007 to February 2010, 23 obese patients had their elective laparoscopic ventral hernia repair under spinal anesthesia. We looked primarily for intra-operative incidences as well as immediate postoperative complications. Long term results and especially recurrences were also to be evaluated.

RESULTS:

Median operative time was 55 min (range 20-100). Intraoperatively, six patients (26%) complained of shoulder pain, three patients (13%) developed bradycardia and two (8.7%) hypotension. Postoperatively, nausea and/or vomiting were recorded in four patients (17.4%), four patients (17.4%) experienced urinary retention and one patient developed wound infection. Median pain score at 4th, 8th and 24th postoperative hour was 0.5 (0-5), 1.5 (0-6), and 1.5 (0-5) respectively. The median length of hospital stay was one day (1-2). At a median follow up of 39 months, one patient was diagnosed with a recurrence.

CONCLUSION:

Spinal anesthesia for LVHR in obese patients (BMI > 30 kg/m(2)) proved an efficient and safe alternative to general anesthesia in the given patient sample.

• Authors: Dimitrios Symeonidis, Ioannis Baloyiannis, Stavroula Georgopoulou, Georgios Koukoulis, Evangelos Athanasiou, George Tzovaras
• Journal: International journal of surgery (London, England) (Int J Surg) Vol. 11 Issue 9 Pg. 926-9 ( 2013) ISSN: 1743-9159 [Electronic] England
• PMID: 23860228 (Publication Type: Journal Article)
• Copyright: Copyright © 2013 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

Topics

• Adult
• Aged
• Anesthesia, Spinal (methods)
• Comorbidity
• Female
• Hernia, Ventral (surgery)
• Herniorrhaphy (adverse effects, methods)
• Humans
• Laparoscopy (adverse effects, methods)
• Male
• Middle Aged
• Obesity (physiopathology)
• Prospective Studies
• Treatment Outcome