• J Clin Anesth · Nov 2016

    Case Reports

    The novel use of different bupivacaine preparations with combined regional techniques for postoperative pain management in non-opioid-based laparoscopic inguinal herniorrhaphy.

    • Andrew C Eppstein and Bryan Sakamoto.
    • Department of Surgery, Division of General Surgery, Richard L. Roudebush VA Medical Center, Indiana University School of Medicine, 1481 West Tenth Street, Indianapolis, IN 46202, USA. Electronic address: aeppstei@iupui.edu.
    • J Clin Anesth. 2016 Nov 1; 34: 403-6.

    AbstractOpioids are important for surgical pain control but may not be appropriate for patients with narcotic abuse histories or opioid intolerance. We describe a laparoscopic bilateral inguinal herniorrhaphy performed without perioperative or postoperative narcotics. Postoperative analgesia involves a novel technique using 2 different bupivacaine formulations that act synergistically to avoid lag time and provide extended pain relief during the acute surgical recovery phase.Published by Elsevier Inc.

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