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- 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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