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Continuous preperitoneal versus thoracic epidural analgesia in open pancreatoduodenectomy: randomized clinical trial

6 January 2025
HPB
BJSA
BJS Academy
0000-0000
BJS Foundation Limited
London, UK
Lee M, Jung J-Y, Han Y, Chae YS, Yun W-G, Jung H-S et al.
Br J Surg 2024; 111: znae296.
In this study that included 134 procedures, mean pain scores at rest were similar for continuous wound perfusion compared to thoracic epidural: mean difference -0.13, 95 per cent confidence interval -0.72 to 0.47. Wound perfusion was associated with decreased opioid consumption and earlier flatus.
Comment: Similar pain relief, so either could be used, taking cost and potential complications into account.
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