We describe the perioperative management of a patient requiring removal of a 56.7-kg ovarian cystadenoma, highlighting our techniques in managing the changes in the patient’s respiratory, vascular, renal, and gastrointestinal systems due to the large mass. An appreciation of the unique physiologic and anatomical changes in patients with large abdominal masses allows for appropriate precautions in the perioperative period.
From the Department of Anesthesiology, Mayo Clinic, Jacksonville, Florida.
Accepted for publication April 25, 2013.
The authors declare no conflicts of interest.
This report was previously presented, in part, at the poster session of the American Society of Anesthesiologists (ASA) Annual Meeting, Washington, DC, October 13, 2012.
Address correspondence to Sher-Lu Pai, MD, Department of Anesthesiology, Mayo Clinic, 4500 San Pablo Rd., Jacksonville, FL 32224. Address e-mail to firstname.lastname@example.org.