The Novel Use of Different Bupivacaine Preparations with Combined Regional Techniques for Postoperative Pain Management in Non‐Opioid Based Laparoscopic Inguinal Herniorrhaphy

Abstract

Opioids are important for surgical pain control but may not be appropriate for patients with narcotic abuse histories or opioid intolerance. We describe a laparoscopic bilateral inguinal herniorrhaphy performed without perioperative or postoperative narcotics. Postoperative analgesia involves a novel technique using 2 different bupivacaine formulations that act synergistically to avoid lag time and provide extended pain relief during the acute surgical recovery phase.