Speakers - 2027

Title: Role of segmental spinal anaesthesia in stoma closure surgery : Case series

Abstract

Background: Stoma closure surgery is a complex procedure often requiring careful management of perioperative pain and anesthesia. While general anesthesia is commonly used, segmental spinal anesthesia (SSA) offers a targeted approach with potential benefits, including reduced systemic effects and faster recovery times. However, the role of SSA in stoma closure surgeries has not been extensively explored.

Objective: This case series aims to evaluate the role of segmental spinal anaesthesia in stoma closure surgery, assessing its effectiveness, safety, and postoperative outcomes.

Methods: Six patients undergoing elective stoma closure surgery were selected. They were administered subarachnoid block using Ropivacaine and intra-operative monitoring of blood pressure, heart rate, level of block, ease of surgery were recorded.

Results: A total of 6 patients were included. SSA was successfully administered in all cases with no major intra-operative complications. The majority of patients reported satisfactory pain control in the postoperative period, with a reduced need for supplementary analgesics. Recovery times were shorter compared to historical controls using general anaesthesia, and no significant adverse effects were noted.

Conclusion: Segmental spinal anaesthesia is a promising technique for stoma closure surgery, providing effective pain control, a favourable safety profile, and quicker postoperative recovery. Further prospective studies are warranted to establish standardised protocols and compare SSA outcomes with traditional anaesthetic methods in this context.