Anesthetic Management of Previously Right Sided Pneumonectomy Patient for Laparoscopic Transabdominal Hysterectomy

Authors

  • Aamir Bashir Shalamar Medical & Dental College Lahore
  • Muhammad Naveed Azhar Shaukat Khanum Memorial Cancer Hospital & Research Center, Peshawar

DOI:

https://doi.org/10.48111/2022.01.08

Keywords:

pneumonectomy, laproscopic surgery, anesthesia management

Abstract

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.

Author Biography

  • Muhammad Naveed Azhar, Shaukat Khanum Memorial Cancer Hospital & Research Center, Peshawar

    Consultant Anesthesiologist

References

Kawaguchi T, Tojo T, Kushibe K, Kimura M, Nagata Y TS. Short-and long-term outcomes after pneumonectomy for primary lung cancer - PubMed. Ann Thorac Cardiovasc Surg. 2008;14(5):289-293. Accessed March 15, 2022. https://pubmed.ncbi.nlm.nih.gov/18989244/

Massard G, Lyons G, Wihlm JM, et al. Early and long-term results after completion pneumonectomy. Ann Thorac Surg. 1995;59(1):196-200. doi:10.1016/0003-4975(94)00728-P

Kopec SE, Irwin RS, Umali-Torres CB, Balikian JP, Conlan AA. The postpneumonectomy state. Chest. 1998;114(4):1158-1184. doi:10.1378/CHEST.114.4.1158

Wahi R, McMurtrey MJ, DeCaro LF, et al. Determinants of perioperative morbidity and mortality after pneumonectomy. Ann Thorac Surg. 1989;48(1):33-37. doi:10.1016/0003-4975(89)90172-0

Brunelli A, Xiumé F, Refai M, et al. Evaluation of expiratory volume, diffusion capacity, and exercise tolerance following major lung resection: a prospective follow-up analysis. Chest. 2007;131(1):141-147. doi:10.1378/CHEST.06-1345

Dougenis D, Morrit GN, Vagianos C, Farr S, Hedley-Brown A. Motility disorders of the esophagus before and after pneumonectomy for lung carcinoma. Eur Surg Res. 1996;28(6):461-465. doi:10.1159/000129491

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Published

2022-03-30

Issue

Section

Case Report

How to Cite

Anesthetic Management of Previously Right Sided Pneumonectomy Patient for Laparoscopic Transabdominal Hysterectomy. (2022). Archives of Surgical Research, 3(1), 46-48. https://doi.org/10.48111/2022.01.08