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Papers of the Week


2019 Oct 19


Cochrane Database Syst Rev


10


10

Continuous local anaesthetic wound infusion for postoperative pain after midline laparotomy for colorectal resection in adults.

Authors

Liang SS, Ying AJ, Affan ET, Kakala BF, Strippoli GFM, Bullingham A, Currow H, Dunn DW, Yeh Z Y-T
Cochrane Database Syst Rev. 2019 Oct 19; 10(10):CD012310.
PMID: 31627242.

Abstract

Colorectal resection through a midline laparotomy is a commonly performed surgical procedure to treat various bowel conditions. The typical postoperative hospital stay after this operation is 6 to 10 days. The main factors hindering early recovery and discharge are thought to include postoperative pain and delayed return of bowel function.Continuous infusion of a local anaesthetic into tissues surrounding the surgical incision via a multi-lumen indwelling wound catheter placed by the surgeon prior to wound closure may reduce postoperative pain, opioid consumption, the time to return of bowel function, and the length of hospital stay.