scholarly journals Experience of premedication and administration of anti-shock fluids during abdominal operations under local anesthesia

2021 ◽  
Vol 43 (3) ◽  
pp. 72-73
Author(s):  
L. X. Mavzyutov

In 1959, we performed 18 operations (appendectomies - 4 laparotomies - 3, gastric resections - 6, other operations - 5) under local anesthesia with V-% novocaine solution according to the method of "creeping infiltrate" according to A.V. Vishnevsky with premedication with drugs phenothiazine series and the introduction of anti-shock fluids during the operation.

1930 ◽  
Vol 26 (9) ◽  
pp. 938-938
Author(s):  
I. Tsimkhes

Abstracts. Surgery and X-ray therapy. The combined use of spinal and local anesthesia in abdominal operations. Prof. Hortolomei (Zntrb. F. Chir., 1930, No. 3) produced 5100 spinal anesthesias within 10 years without one death, and in 2600 cases. chloroform anesthesia 3 deaths.


2021 ◽  
Vol 27 (8) ◽  
pp. 846-851
Author(s):  
A. V. Vishnevsky

The idea of the possibility of access from the lumbar incision to the liver, gallbladder and ducts is not new; there are numerous references to this in the literature (Fgapk, Meags, Tu ffieg, Wgight, Reboul, Trinkler, etc.). Frank, for example, even points to the benefits of a lumbar incision for surgery on the biliary tract in terms of convenience of postoperative treatment, convenience of drainage and less danger of postoperative hernias. Most recently, Hrtel) has been focusing the attention of surgeons on lumbar incisions for operations not only on retroperitoneal organs, but also for abdominal operations (spleen, pancreas, duodenum, colon, etc.). Without mentioning the whole issue here, I must say that the clinic has enough reasons for wanting to get operative access to the right kidney and gallbladder simultaneously. The first reason for this in normal conditions may be diagnostic difficulties. There are cases when the surgeon, exposing the kidney, simultaneously felt the stones in the gallbladder and was forced to continue the operation on the bile ducts from the same incision.


1984 ◽  
Vol 48 (12) ◽  
pp. 653-658
Author(s):  
MM Walsh ◽  
R Hannebrink ◽  
B Heckman

2006 ◽  
Vol 175 (4S) ◽  
pp. 359-359
Author(s):  
Sompol Permpongkoso ◽  
Aaron Sulman ◽  
Stephen B. Solomon ◽  
GaryX Gong ◽  
Louis R. Kavoussi

Swiss Surgery ◽  
2001 ◽  
Vol 7 (2) ◽  
pp. 86-89 ◽  
Author(s):  
Lachat ◽  
Pfammatter ◽  
Bernard ◽  
Jaggy ◽  
Vogt ◽  
...  

Local anesthesia is a safe and less invasive anesthetic management for the endovascular approach to elective aortic aneurysm. We have successfully extended the indication of local anesthesia to a high-risk patient with leaking aneurysm and stable hemodynamics. Patient and methods: A 86 year old patient with renal insufficiency due to longstanding hypertension, coronary artery and chronic obstructive lung disease was transferred to our hospital with a leaking abdominal aortic aneurysm. Stable hemodynamics allowed to perform a fast CT scan, that confirmed the feasibility of endovascular repair. A bifurcated endograft (24mm x 12mm x 153mm) was implanted under local anesthesia. Results: The procedure was completed within 85 minutes without problems. The complete sealing of the aneurysm was confirmed by CT scan on the third postoperative day. Twenty months later, the patient is doing well and radiological control confirmed complete exclusion of the aneurysm. Discussion: The endoluminal treatment is a minimally invasive technique. It's feasibility can be rapidly assessed by CT scan. The transfemoral implantation can be performed under local anesthesia provided that hemodynamics are stable. This anesthetic management seems to be particularly advantageous for leaking abdominal aortic aneurysm since it doesn't change the hemodynamic situation in contrast to general anesthesia. Hemodynamic instability, abdominal distension or tenderness may indicate intraperitoneal rupture and conversion to open graft repair should be performed without delay.


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