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Case Report | Anaesthesiology | Volume 15 Issue 4, April 2026 | Pages: 1908 - 1910 | India
Regional Over General: Successful Thoracic Segmental Spinal Anesthesia for Hernioplasty in a High-Risk Cardiorenal Patient: A Case Report
Abstract: Thoracic segmental spinal anaesthesia (TSSA) is an emerging regional anaesthetic technique that delivers targeted sensory blockade to specific thoracic dermatomes while preserving respiratory function and maintaining hemodynamic stability. This case report describes a 64-year-old male with chronic kidney disease (CKD), systemic hypertension, and complete heart block who presented with an umbilical hernia measuring 3.5 cm in anterior abdominal wall defect. Given the significant cardiorenal comorbidities, general anaesthesia posed an unacceptably high perioperative risk. The patient underwent umbilical hernioplasty under thoracic segmental spinal anaesthesia with a temporary pacemaker in situ. Intraoperative and postoperative hemodynamic stability was maintained throughout the procedure, with no complications recorded. This case demonstrates that TSSA provides an effective, safe, and physiologically favorable alternative to general anaesthesia in high-risk patients, offering superior cardiovascular stability, preserved respiratory function, site-specific analgesia, and faster recovery.
Keywords: Thoracic segmental spinal anaesthesia, hernioplasty, complete heart block, chronic kidney disease, regional anaesthesia, cardiorenal comorbidity, umbilical hernia, high-risk patient
How to Cite?: Dr. Shriya Meecheri, Dr. Jessy Vennel, Dr. Harshalata Suryawanshi, "Regional Over General: Successful Thoracic Segmental Spinal Anesthesia for Hernioplasty in a High-Risk Cardiorenal Patient: A Case Report", Volume 15 Issue 4, April 2026, International Journal of Science and Research (IJSR), Pages: 1908-1910, https://www.ijsr.net/getabstract.php?paperid=SR26429181253, DOI: https://dx.dx.doi.org/10.21275/SR26429181253