METHOD OF PERFORMING VIDEO-ASSISTED EXTENDED REGIONAL ANESTHESIA WITH LAPAROSCOPIC ACCESS IN ABDOMINAL SURGERY Russian patent published in 2023 - IPC A61M5/178 A61B17/94 A61K31/167 A61P23/02 

FIELD: medicine; surgery; anesthesiology.

SUBSTANCE: anesthetic is administered under visual control after completion of the main stage of the operation from laparoscopic access with ongoing combined endotracheal anesthesia and pneumoperitoneum in the area of trocar punctures. The needle is inserted into the abdominal wall through a trocar puncture, passed through all layers to the preperitoneal space for aspiration using a syringe. After visualization of the needle tip from the side of the abdominal cavity in the preperitoneal space, the needle is gradually withdrawn with a layer-by-layer introduction of an anesthetic: into the preperitoneal space under visual laparoscopic control from the side of the abdominal cavity after removal of the trocar, at the stage of the exit of the needle from the abdominal wall between the sheets of aponeurosis and into the intermuscular space.

EFFECT: method provides a long-term effect of regional anesthesia in the postoperative period, no need to use additional analgesics, including opioid ones, early activation of patients with urgent abdominal pathology, increased level of satisfaction with the medical care provided, reduced terms of their inpatient treatment and return to social and working life.

3 cl, 4 dwg, 2 ex