Fascial-sheath regional anesthesia for operations on the anterior abdominal wall and abdominal organs

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Abstract

The use of central segmental blockades (spinal and epidural) is associated with a large number of contraindications and complications including life-threatening. The combination of general anesthesia with opioids is associated with a slow recovery of the gastrointestinal tract and other side effects of their systemic application. Therefore the search for alternative methods of pain relief in the context of Enhanced Recovery After Surgery protocols is becoming an increasingly relevant research topicn. Relative to central blocks, the fascial sheath block of peripheral nerves under ultrasound guidance is a technically simple and safe technique. This article provides a brief overview of the main blocks used for anesthesia of the anterior abdominal wall.

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About the authors

Evgenii K. Bespalov

Petrovsky Russian Research Center of Surgery

Author for correspondence.
Email: evgenbespalovv@yandex.ru
ORCID iD: 0000-0001-5861-2753
SPIN-code: 5475-8632
Russian Federation, GSP-1, 2, Abrikosovskiy per., Moscow, 119991

Andrey Y. Zaitsev

Petrovsky Russian Research Center of Surgery; I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: rabotaz1@yandex.ru
ORCID iD: 0000-0001-9425-202X
SPIN-code: 3013-9774

MD, PhD, docent

Russian Federation, GSP-1, 2, Abrikosovskiy per., Moscow, 119991; Moscow

Vsevolod A. Svetlov

Petrovsky Russian Research Center of Surgery

Email: svetlov.vsevolod1936@mail.ru
ORCID iD: 0000-0002-9535-7242
SPIN-code: 2180-6692

MD, PhD, Professor

Russian Federation, GSP-1, 2, Abrikosovskiy per., Moscow, 119991

Margarita A. Vyzhigina

Petrovsky Russian Research Center of Surgery; I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: scorpi1999@mail.ru
ORCID iD: 0000-0002-6024-0191
SPIN-code: 6651-8256

MD, PhD, Professor

Russian Federation, 2, 8, Trubetskaya st., Moscow, 119991; Moscow

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Supplementary files

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1. JATS XML
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2. Fig. 1. Anatomy of the anterior abdominal wall

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3. Fig. 2. Anatomy of the thoracolumbar fascia

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4. Fig. 3. TAP block types. A – lateral access. Б – subcostal TAP block. B – blockade of the ilio-inguinal and ilio-hypogastric nerves. EO – external oblique muscle, IO – internal oblique muscle, TA – transverse abdominal muscle, MA – local anesthetic. N. Ii / Ihg – ilio-inguinal and ilio-hypogastric nerves

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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