Risks of anaesthetic management during laparoscopic interventions on the abdominal aorta and its branches
DOI:
https://doi.org/10.57125/FEM.2022.06.30.04Keywords:
Spinal anaesthesia, abdominal aortic aneurysms, critical assessment toolsAbstract
Aims: The main goal of this study is to draw attention to the dangers of anaesthetic management during laparoscopic procedures on the abdominal aorta and its branches.
Methodology: In this study, the risks of anaesthetic management during laparoscopic interventions on the abdominal aorta and its branches were determined by a systematic search use. The most recent studies in Scopus, PubMed, and google scholar databases. The search terms used were: [Risk OR adverse effect OR side effects] AND [Anaesthesia OR Anaesthetic management] AND [laparoscopic intervention or laparoscopy] AND [abdominal aorta OR abdominal aortic aneurysms] were evaluated.
Results: 1070 articles using electronic databases were first collected. After a deep search, 238 articles were selected and given to the writers for additional evaluations. A thorough brainstorming session that resulted in the selection of 12 relevant papers for the evaluation was conducted. Abdominal aortic aneurysms (AAAs) that is affected by age necessitate surgical treatment. For AAA patients, laparoscopic surgery has become a vital procedure with a number of advantages. Laparoscopic surgery has become a standard medical procedure because it reduces tissue trauma and provides significant advantages. The administration of anaesthesia in patients having laparoscopic surgery, however, is crucial and demands special attention. Despite the rarity of absolute contraindications, the anaesthetist must carefully choose the patients who may undergo such procedures and must constantly be prepared for intraoperative issues. The pain experienced by patients having laparoscopic operations, such as appendectomy, is likely to be understated, so small incisions do not always imply reduced pain levels.
Scientific Novelty: This is the first systematic review that highlights anaesthetic management during laparoscopic interventions on the abdominal aorta and its branches risks.
Conclusion: In extended laparoscopic surgery, general anaesthesia and epidural analgesia can be used together with the advantage of reduced postoperative pain severity thanks to patient-controlled spinal anaesthesia.
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