Combination of general anesthesia and caudal block in laparoscopic surgery for neonates with annular pancreas: A case report
Abstract The annular pancreas is a rare congenital disorder that originates from the pancreas. It is believed to stem from an abnormal rotation of the ventral pancreatic bud as it wraps around the posterior side of the duodenum. While surgical corrections can be performed either through open surgery...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-04-01
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| Series: | Bali Journal of Anesthesiology |
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| Online Access: | https://doi.org/10.4103/bjoa.bjoa_39_24 |
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| author | Putu Kurniyanta Adinda Putri Antasari Adinda Putra Pradhana |
| author_facet | Putu Kurniyanta Adinda Putri Antasari Adinda Putra Pradhana |
| author_sort | Putu Kurniyanta |
| collection | DOAJ |
| description | Abstract The annular pancreas is a rare congenital disorder that originates from the pancreas. It is believed to stem from an abnormal rotation of the ventral pancreatic bud as it wraps around the posterior side of the duodenum. While surgical corrections can be performed either through open surgery or laparoscopic methods, the latter is particularly challenging in neonates, especially when the surgery is complicated. One of the primary concerns with laparoscopic procedures in neonates is the potential for hemodynamic and respiratory changes. These changes arise mainly from the increased intra-abdominal pressure created by the pneumoperitoneum, which is essential for the laparoscopic approach. Furthermore, prolonged laparoscopic surgeries can induce an excessive stress response in neonates. To mitigate these challenges, a combination of general anesthesia and caudal block can be used. This approach not only ensures hemodynamic stability but also effectively reduces the neonate’s stress response. |
| format | Article |
| id | doaj-art-7b9e0c15ef134b5982ea52b927b0797e |
| institution | Kabale University |
| issn | 2549-2276 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Bali Journal of Anesthesiology |
| spelling | doaj-art-7b9e0c15ef134b5982ea52b927b0797e2025-01-25T09:57:50ZengWolters Kluwer Medknow PublicationsBali Journal of Anesthesiology2549-22762024-04-018212713010.4103/bjoa.bjoa_39_24Combination of general anesthesia and caudal block in laparoscopic surgery for neonates with annular pancreas: A case reportPutu KurniyantaAdinda Putri AntasariAdinda Putra PradhanaAbstract The annular pancreas is a rare congenital disorder that originates from the pancreas. It is believed to stem from an abnormal rotation of the ventral pancreatic bud as it wraps around the posterior side of the duodenum. While surgical corrections can be performed either through open surgery or laparoscopic methods, the latter is particularly challenging in neonates, especially when the surgery is complicated. One of the primary concerns with laparoscopic procedures in neonates is the potential for hemodynamic and respiratory changes. These changes arise mainly from the increased intra-abdominal pressure created by the pneumoperitoneum, which is essential for the laparoscopic approach. Furthermore, prolonged laparoscopic surgeries can induce an excessive stress response in neonates. To mitigate these challenges, a combination of general anesthesia and caudal block can be used. This approach not only ensures hemodynamic stability but also effectively reduces the neonate’s stress response.https://doi.org/10.4103/bjoa.bjoa_39_24annular pancreascaudal blockcongenital disorderslaparoscopic surgeryneonatees |
| spellingShingle | Putu Kurniyanta Adinda Putri Antasari Adinda Putra Pradhana Combination of general anesthesia and caudal block in laparoscopic surgery for neonates with annular pancreas: A case report Bali Journal of Anesthesiology annular pancreas caudal block congenital disorders laparoscopic surgery neonatees |
| title | Combination of general anesthesia and caudal block in laparoscopic surgery for neonates with annular pancreas: A case report |
| title_full | Combination of general anesthesia and caudal block in laparoscopic surgery for neonates with annular pancreas: A case report |
| title_fullStr | Combination of general anesthesia and caudal block in laparoscopic surgery for neonates with annular pancreas: A case report |
| title_full_unstemmed | Combination of general anesthesia and caudal block in laparoscopic surgery for neonates with annular pancreas: A case report |
| title_short | Combination of general anesthesia and caudal block in laparoscopic surgery for neonates with annular pancreas: A case report |
| title_sort | combination of general anesthesia and caudal block in laparoscopic surgery for neonates with annular pancreas a case report |
| topic | annular pancreas caudal block congenital disorders laparoscopic surgery neonatees |
| url | https://doi.org/10.4103/bjoa.bjoa_39_24 |
| work_keys_str_mv | AT putukurniyanta combinationofgeneralanesthesiaandcaudalblockinlaparoscopicsurgeryforneonateswithannularpancreasacasereport AT adindaputriantasari combinationofgeneralanesthesiaandcaudalblockinlaparoscopicsurgeryforneonateswithannularpancreasacasereport AT adindaputrapradhana combinationofgeneralanesthesiaandcaudalblockinlaparoscopicsurgeryforneonateswithannularpancreasacasereport |