Intraoperative autonomic field block combined with the transversus abdominis plane block: for left-sided colectomies (video forum)

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The article presents a technique for intraoperative autonomic nerve block during minimally invasive left-sided colectomies.
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A combination of liposomal bupivacaine, Marcaine, and saline is used to potentially reduce postoperative pain and expedite recovery.
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The technique aims to block autonomic afferent fibers to alleviate visceral pain, which is often poorly managed by traditional methods.
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Specific injection sites for transversus abdominis plane blocks are identified and infiltrated bilaterally during the procedure.
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Future studies, including a randomized pilot trial, are planned to assess the efficacy and reproducibility of this autonomic block technique.

Techniques In Coloproctology

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