Blocking the sympathetic and parasympathetic pathways led to improved visceral pain and other symptoms following laparoscopic sleeve gastrectomy, new research found.
Autonomic neural blockade may represent a unique way to manage postoperative visceral pain and associated symptoms following minimally invasive weight loss surgery , according to a new report intargets blockade of sympathetic and parasympathetic pathways by injecting local anesthetic into the areolar tissue surrounding selected autonomic plexuses.
Postoperative outcomes have improved with the advent of minimally invasive techniques, enhanced recovery protocols, and regional pain management, Daes’ group said. But these approaches do not always address visceral pain and gastrointestinal symptoms, which can compromise patient recovery, In the second study, the researchers examined how the timing of the nerve block affected its performance. In this case, all participants received the block, either at the beginning or at the end of laparoscopic sleeve gastrectomy.
Pauli said expansion of the technique to other surgical procedures is possible. “Dr. Daes now uses the block routinely on gallbladder patients and hiatal hernia patients,” he said. “One of the things that he proposes is that the block can be performed in any surgery involving any organ.”
Acute Pain Bariatric Surgery Obesity Surgery Weight Loss Surgery Pain Surgery Obesity Obese Gastrectomy Anesthesia Anesthetic Anesthaesia Anaesthetic Local Anesthesia Local Anesthetic Local Anaesthesia Local Anaesthetic Postoperative Opioids Healthcare And Medical Technology Health And Medical Tech Health And Med Tech Health And Medical Technology
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