Endotracheal anesthesia laparoscopic ovarian cyst surgery

This is an automatically translated article.

The article is expertly consulted by an Anesthesiologist, anesthesiologist, anesthesiologist - Department of General Surgery & Anesthesia - Vinmec Hai Phong International General Hospital.

1. Endotracheal anesthesia in laparoscopic ovarian cyst surgery

Endotracheal anesthesia in laparoscopic ovarian cyst surgery is a technique of general anesthesia with endotracheal intubation for the purpose of breathing control during surgery and postoperative recovery.

2. When is laparoscopic surgery for ovarian cysts?

Women with ovarian cysts are treated by laparoscopy in the following cases:
Cysts on both ovaries; Cysts larger than 7.6 cm; Cysts do not clear up or enlarge on their own during 2-3 months of follow-up; Cysts are not functional according to the results of ultrasound; Cysts cannot be differentiated as functional or physical; The actual tumor is indicated for surgery in all cases; The cyst is likely to be malignant; Cysts in subjects who no longer wish to have children or in postmenopausal women.

3. Indications and contraindications of endotracheal anesthesia in laparoscopic ovarian cyst surgery

Endotracheal anesthesia will be selected as an anesthetic method in the following cases:
Laparoscopic surgery on ovarian cysts; Difficulty mask respiratory control; Anesthesia should be maintained with an inhalation anesthetic. Contraindications of endotracheal anesthesia include:
No patient consent; Insufficient means of anesthesia and resuscitation; Technicians have not yet fully understood and mastered the technique; Patients with upper respiratory tract and digestive tract infections; Patients with acute laryngitis or laryngeal cancer; Severe laryngeal tuberculosis.

4. Complications in endotracheal anesthesia

The use of endotracheal anesthesia in ovarian cyst surgery can cause some complications such as:
Tooth loss: need to remove teeth and insert gauze to stop bleeding; Wrong placement of the endotracheal tube into the esophagus: no alveolar murmur will be heard, epigastric bulging, epigastric murmur will be heard when squeezing the balloon. Treatment of the patient needs to remove the endotracheal tube, squeeze the balloon until the skin and mucous membranes are pink again, then re-insert the endotracheal tube; Endotracheal intubation in one lung: alveolar murmur can only be heard in one lung, then the endotracheal tube should be removed 1-2 cm and rechecked with auscultation. Reflex cardiac arrest: observed Electrocardiogram is an isoelectric line, it is necessary to punch the anterior region of the heart 3-5 times if the heart does not beat again, emergency cardiopulmonary arrest must be performed;

Bronchospasm: manifested by symptoms of cyanosis, stridor. Treat with intravenous aminophylin 5 mg/kg and solumedrol 40 mg; The endotracheal tube is blocked or the tip of the tube touches the trachea wall, sputum, blood detected by airway pressure causes the anesthetic machine to alarm. Treatment: reposition the patient's head if the tube is flooded, aspirate the endotracheal tube if there is congestion of sputum, sputum, blood; Aspiration pneumonia: caused by aspiration of gastric juice, causing respiratory failure in patients, chest radiograph shows diffuse infiltrates of two lung fields. Need to irrigate the respiratory tract with 1% sodium bicarbonate solution, antibiotics, solumedrol 40 mg, mechanical ventilation. Currently, Vinmec International General Hospital is applying the method of treating ovarian cysts by modern robotic laparoscopic technique with many outstanding advantages compared to other treatment methods:
Less invasive pain Fast recovery time Discharge from hospital 2 days after surgery High safety, few complications No scars on the abdominal wall Minimize impact on reproductive health

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