Lumbar Discectomy under General Anesthesia in a Pregnant Woman in the 13th Week of Gestation : A Clinical Case Report

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  • KODA Kenichiro
    Department of Anesthesiology, Toho University Sakura Medical Center
  • KIMURA Haruka
    Department of Anesthesiology, Toho University Sakura Medical Center
  • UZAWA Masashi
    Department of Anesthesiology, Toho University Sakura Medical Center
  • SANBE Norie
    Department of Anesthesiology, Toho University Sakura Medical Center
  • SUGANO Takayuki
    Department of Anesthesiology, Toho University Sakura Medical Center
  • KITAMURA Takayuki
    Department of Anesthesiology, Toho University Sakura Medical Center

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Other Title
  • 妊娠13週で全身麻酔下腰椎椎間板ヘルニア摘出術を施行した1例

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We report a case of lumbar discectomy under general anesthesia in a pregnant woman in the 13th week of gestation. To avoid miscarriage and premature labor, surgery and anesthesia in pregnant women should be undertaken carefully in the second trimester of pregnancy due to fewer maternal anatomical and physiological changes at that time. In this case, surgery was performed at the end of the first trimester, in the 13th week, because of deteriorating neurologic symptoms, as well as the possible problems associated with adoption of the prone position due to the enlarging uterus. Care should be taken when selecting general anesthetics in pregnant women. In this case, there seemed to be no obvious adverse effects of general anesthesia on the fetus. During anesthetic management for surgery in pregnant women, maintaining utero-placental perfusion and avoiding the use of teratogenic agents are essential to prevent adverse effects.

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