Anaesthesia for a Rare Case of Down’s Syndrome with Morgagni’s Hernia Undergoing Laparoscopic Repair UD01-UD02
Dr. Nethra H Nanjundaswamy,
Assistant Professor, Department of Anaesthesia, Bangalore Medical College and Research Institute,
Fort, KR Road, Bengaluru-560002, India.
E-mail : email@example.com
Morgagniâ€™s hernia is a type of congenital diaphragmatic hernia and it is rare in children. The association between Downâ€™s syndrome and Morgagniâ€™s hernia in children is also rare. Laparoscopic repair is a preferred surgical approach than open surgical procedures as laparoscopy offers a bilateral view of Morgagniâ€™s hernia, minimal tissue damage and a faster recovery. When children with Downâ€™s syndrome and associated Morgagniâ€™s hernia present for laparoscopic repair, they pose several complex challenges to the anaesthetist due to the involvement of multiple organ systems, difficulties in airway management and effects of laparoscopic surgery on the organ systems. Therefore, such children need a very careful anaesthetic plan, including a thorough preoperative assessment and preparation for a successful perioperative outcome.