Bilateral External Oblique Block with Catheter Insitu for Post Operative Pain Management of Exploratory Laparotomy
Year: 2025
Type: article
Study design: Case Report
Abstract: Materials and methods: Study design: Case report.We report a case of 62 year old male diagnosed with gastric carcinoma posted for gastrojejunostomy and jejunojejunostomy.Thorough preoperative evaluation was done prior to surgery.On examination MPC grade 3, upper and lower incisors absent.Case was managed by routine anaesthesia protocol with general anaesthesia and after induction bilateral 18 G epidural catheters were placed in external oblique fascial plane under USG guidance at 6 th intercostal space.Patient was hemodynamically stable with adequate analgesia intraoperatively and no requirement of NSAIDs or opioids use postoperatively.Result: Patient had good pain relief post op with top ups given with Inj.Bupivacaine 0.125% 15cc on each side every 12 th hourly.Patient received 2 doses of Inj.Paracetamol 1gm intravenously on post op day zero and 1 dose on post op day 1 and 2. Conclusion: Pain control following laparotomy can be difficult to manage.A feasible option for pain control may be bilateral external oblique catheter.Future studies are required to determine the effectiveness of external oblique nerve catheter.
Authors: Yogeshwari x, Archita Patil, Sandeep Kadam, Akshath Goklani
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4409698807