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- W4367322570 abstract "Abstract Emergent exploratory laparotomy is not an uncommon procedure faced by the practicing anesthesiologist. The most common surgical approach (incision) is via a midline vertical incision. The extent of the incision is determined by the underlying surgical pathology, and the exposure required to explore the abdominal cavity and associated visceral and vascular organs of interest. The incision may be limited to the upper abdomen, lower abdomen, periumbilical region, or may extend from the xiphoid to the pubic symphysis. Regional anesthesia-analgesia with ultrasound-guided nerve blocks of the thoracolumbar nerves supplying the anterolateral abdominal wall can provide clinically relevant analgesia after emergent exploratory laparotomy and may offer a wider application and decreased risk profile compared to thoracic epidural analgesia. A thorough understanding of the anatomy and sensory innervation of the anterolateral abdominal wall is the key to choosing which approach to utilize, maximizing the success rate for correct placement of local anesthetic injection, and decreasing the incidence of potential complications." @default.
- W4367322570 created "2023-04-29" @default.
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- W4367322570 date "2023-04-01" @default.
- W4367322570 modified "2023-10-17" @default.
- W4367322570 title "Emergency Exploratory Laparotomy" @default.
- W4367322570 doi "https://doi.org/10.1093/med/9780197518519.003.0016" @default.
- W4367322570 hasPublicationYear "2023" @default.
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