POSTOPERATIVE INTRAABDOMINAL HYPERTENSION IN GERIATRIC PATIENT WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE OPERATED FOR GIANT INGUINOSCROTAL HERNIA- A CASE REPORT

Dr. SUREKHA CHAVAN; Dr. MADHU CHAVAN; Dr. SHAILENDRA SHIRODKAR; Dr. SHWETA JOSHI

Volume : IX, Issue : V, May - 2020

POSTOPERATIVE INTRAABDOMINAL HYPERTENSION IN GERIATRIC PATIENT WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE OPERATED FOR GIANT INGUINOSCROTAL HERNIA- A CASE REPORT

Dr. Surekha Chavan, Dr. Madhu Chavan, Dr. Shailendra Shirodkar, Dr. Shweta Joshi

Abstract :

Giant inguinoscrotal hernias are defined as those extending below the midpoint of inner thigh in standing position. It has Implications on quality of life–e.g. difficulties with mobility, clothing, psychosocial embarrassment, retention of urine, bowel obstruction, and scrotal skin ulcerations. The surgery and anesthesia management is challenging during replacement of massive herniating viscera. Respiratory distress and cardiovascular complications due to intra–abdominal hypertension can be fatal. We reported critical care management of event of postoperative intra–abdominal hypertension and episode of cardio–respiratory compromise in geriatric patient having giant inguinoscrotal hernia, posted for omentectomy with bilateral subtotal excision of sac, right orchidectomy, scrotoplasty and meshplasty.