Anesthetic Management of Previously Right Sided Pneumonectomy Patient for Laparoscopic Transabdominal Hysterectomy
DOI:
https://doi.org/10.48111/2022.01.08Keywords:
pneumonectomy, laproscopic surgery, anesthesia managementAbstract
Preoperative pulmonary disease is one of the recognized risk factors for postoperative respiratory complications. Lung resection surgeries especially pneumonectomy can lead to significant respiratory complications and can have grave consequences intra-operatively as well as postoperatively. An increasing number of patients require general anesthesia after pneumonectomy but very limited data is available to guide anesthetists. We present a case of 41 years old female who underwent laparoscopic transabdominal hysterectomy and bilateral salpingo-oophorectomy at a tertiary care cancer hospital with a previous history of right-sided pneumonectomy due to pulmonary tuberculosis. Thorough knowledge and understanding of anatomical and physiological changes after lung resections can help anesthetist to manage these difficult surgical patients to have a safe and uneventful perioperative outcome.
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