ABSTRACT

This chapter discusses abdominal surgeries. It also explains initial management, investigations, monitoring, anaesthetic technique, postoperative management, patient characteristics, induction and maintenance for the same. These surgeries include abdominal trauma, bariatric surgery, colorectal surgery, hepatic resection surgery, hernia repair, obstruction or perforation, oesophagectomy, open and laparoscopic cholecystectomy, pancreatic surgery and phaeochromocytoma. The incidence of obesity is increasing in the developed world and morbid obesity has become a significant health problem. Many patients are younger adults but any age can be encountered. Historically liver resection was associated with high mortality rates, due to uncontrolled bleeding and liver failure. This has improved significantly in recent decades with a 3" mortality rate for patients undergoing hepatic resection without significant parenchymal disease. A hernia is a protrusion of the whole or part of a viscus from its normal position through an opening in the wall of its containing cavity. Surgical repair involves excision of the hernia sac and closure of the defect.