Andrew C. Eppstein

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

Opioids 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.

Ultrasonography-guided identification with methylene blue tattooing of the ilioinguinal nerve for neurectomy for chronic pain: A case series

and 11-dehydro-thromboxane B2 (TXB2) excretion rates were measured as previously described.4 The study protocol was approved by the local ethics committee, and patients provided written informed consent. The effects of LAGB surgery were assessed using Friedman and Wilcoxon tests for paired samples. The Spearman rank correlation test and stepwise multiple linear regression analysis (using log-transformed data) were performed to assess variables associated with urinary 11-dehydro-TXB2 excretion rates. Two-sided P values of less than .05 were considered to be statistically significant.