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Case Studies | Anaesthesiology | India | Volume 12 Issue 1, January 2023
Giant Ovarian Cyst Anesthetic Management and Challenges
Abstract: With ever increasing availability of diagnostic modalities, improved health care, better equipped hospitals and availability of specialists huge abdominal tumours are very rarely seen in modern day surgical practice. Any increase in the abdominal size due to any cause may present many challenges to anesthesiologists. Difficult or failed intubation, due to increased abdominal pressure, life threatening cardiovascular and pulmonary complications due to decreased FRC are commonly encountered. Management of such cases is associated with significant mortality and morbidity. The successful outcome of any surgery undertaken for removal of abdominal mass depends on the size of the mass, its adherence to peritoneum rather than to its distinctive pathology. We hereby report a rare case of a giant ovarian cyst weighing 11kg, which was successfully managed by a careful pre-operative evaluation, maintenance of intraoperative hemodynamic monitoring, judicious fluid management and using Spinal Anesthesia.
Keywords: anesthesia, spinal anesthesia, general anesthesia, ovarian cyst, pulmonary and cardiovascular complication, spinal adjuvants, difficult intubation, failed intubation, obesity, abdominal mass
Edition: Volume 12 Issue 1, January 2023,
Pages: 1204 - 1205