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Reading: Anaesthesia for Mitrofanoff Procedure in a young male patient with exstrophy-epispadias complex

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Case Reports

Anaesthesia for Mitrofanoff Procedure in a young male patient with exstrophy-epispadias complex

Authors:

Julie C. R. Misquith ,

KMC, Mangalore, Manipal Academy of Higher Education, IN
About Julie C. R.

Associate Professor, Department of Paediatric Surgery, KMC

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M. Vidyarani,

KMC, Mangalore, Manipal Academy of Higher Education, IN
About M.

Post Graduate, Department of Anaesthesiology

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Aghna Faryal,

KMC, Mangalore, Manipal Academy of Higher Education, IN
About Aghna

Consultant Anaesthesiologist, Department of Anaesthesiology

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Jayateertha Joshi,

KMC, Mangalore, Manipal Academy of Higher Education, IN
About Jayateertha

Assistant Professor, Department of Paediatric surgery

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Sadashiva Rao

KMC, Mangalore, Manipal Academy of Higher Education, IN
About Sadashiva

Associate Professor, Department of Paediatric Surgery

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Abstract

Purpose: One of the most challenging tasks of an anaesthesiologist is intraoperative and postoperative pain management. The exstrophy-epispadias complex is a congenital distortion not only of the genito­urinary system but also the muscles of the wall of the abdomen and structures of the pelvis. The focus of surgical repair remains on bladder reconstruction and its surrounding structures with cosmesis and a better quality of life.

 

Features: A twenty-year-old male, known case of exstrophy-epispadias complex, presented for Mitrofanoff repair for recurrent urinary tract infections. This case report highlights the use of lumbar epidural infusion of local anaesthetic bupivacaine and opioid fentanyl with general anaesthesia for Mitrofanoff procedure in urinary bladder exstrophy-epispadias surgery.

 

Conclusion: Regional anaesthesia along with general anaesthesia has advantages such as decreased use of anaesthetic drugs intraoperatively, better haemodynamics, effective analgesia both intraoperatively and postoperatively. Although there have been differences in opinion on the usage of opioids in epidurals, it has been shown to facilitate early gastric motility, better analgesia and better recovery profiles.

How to Cite: Misquith, J.C.R., Vidyarani, M., Faryal, A., Joshi, J. and Rao, S., 2020. Anaesthesia for Mitrofanoff Procedure in a young male patient with exstrophy-epispadias complex. Sri Lankan Journal of Anaesthesiology, 28(1), pp.42–44. DOI: http://doi.org/10.4038/slja.v28i1.8475
Published on 06 Feb 2020.
Peer Reviewed

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