Table 1 Advantages and disadvantages of the treatment strategy and anesthesia methods
Surgical plan/anesthesia methods (airway management) | Pros | Cons | |
|---|---|---|---|
Discussed Option #1 | Laparoscopic inguinal hernia repair and RBS | - All performed at once - Visualization of ipsilateral hernia | - Intubation necessary for laparoscopic surgery - Difficulty of extubation, or tracheostomy possibility - CO2 insufflation for ex-prematurity with CLD |
Intubation after RBS + PNB | |||
Discussed Option #2 | Open hernia repair and RBS | - All performed at once - Intubation unnecessary | - Intubation possible, depending on the degree of subglottic stenosis - No necessity of GA for open surgery |
SGD or Intubation after RBS + PNB | |||
Discussed Option #3 | Open hernia repair first, and RBS on another day | No invasion of subglottic area | - Two-time anesthesia - Longer hospital stay |
Spinal anesthesia under sedation at first time and spontaneous respiration at second time |