CASE REPORT
Year : 2011  |  Volume : 5  |  Issue : 3  |  Page : 317-319

Anesthesia implications in emergency oncologic surgery in a case of untreated Parkinsonism


1 Departments of Obstetrics & Gynaecology, Gian Sagar Medical College & Hospital, Banur, Punjab, India
2 Departments of Anaesthesiology & Intensive Care, Gian Sagar Medical College & Hospital, Banur, Punjab, India

Correspondence Address:
Sukhminder Jit Singh Bajwa
Associate Professor, House No-27-A, Ratan Nagar, Tripuri, Patiala, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1658-354X.84110

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Oncologic surgery has made tremendous advancements in the last two decades. The prognosis of once thought to be irreversible and incurable diseases has improved dramatically with these advancements, which have given a fresh lease of hope to the general population. But there are certain factors that are still unfavorable for achieving improved outcome of surgery in various cancers. The associated comorbid diseases do determine to a large extent the actual outcome of all the interventions to treat oncologic disease. The untreated coexisting disease makes the task of the attending anesthesiologist very challenging as numerous complications are anticipated, especially during emergency surgery. We are describing a case of a patient with endometrial carcinoma who presented with unstoppable bleeding per-vaginum and was suffering from Parkinson disease since 1΍ years, for which no treatment was ever sought. Vaginal hysterectomy was performed under graded epidural anesthesia; and after a smooth and uneventful postoperative period of 8 days, she was referred to radiotherapy unit for further management.


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