Evidence-Based Postoperative Pain Management After Laparoscopic Colorectal Surgery
Colorectal Disease, 05/07/2012
Joshi GP et al. – Infiltration of surgical incisions with local anaesthetic at the end of surgery, systemic steroids, conventional nonsteroidal anti–inflammatory drugs or cyclooxygenase–2–selective inhibitors in combination with paracetamol with opioid used as rescue are recommended. Intravenous lidocaine infusion is recommended, but not as first line of therapy. However, neuraxial blocks (i.e., epidural analgesia and spinal morphine) are not necessary based on high risk:benefit ratio.