Background: Intraperitoneal instillation (IPI) of local anesthetic agents into peritoneal cavity has proved to be an effective method post-operative analgesia in laparoscopic cholecystectomy (LC). The addition adjuvants such as narcotics or α2-agonists been proposed prolong the duration analgesia. Aims and Objectives: This study aimed compare IPI periportal infiltration ropivacaine plus dexmede...

Abstract Aim To maximise postoperative analgesia, whilst minimising opioid use, motor sparing peripheral nerve blocks have been described as an alternative to local infiltration analgesia (LIA) with adductor canal block (ACB) in total knee arthroplasty (TKA). At The Robert Jones and Agnes Hunt Orthopaedic Hospital, we developed a new technique, involving ten separate injections the four genicul...

INTRODUCTION Laparoscopic surgery combined with enhanced recovery programmes has become the gold standard in the elective management of colorectal disease. However, there is no consensus with regard to the optimal perioperative analgesic regime in this cohort of patients, with a number of options available, including thoracic epidural spinal analgesia, patient-controlled analgesia, subcutaneous...