UPDATED TOPICS IN MINIMALLY INVASIVE ABDOMINAL SURGERY

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Updated Topics in Minimally Invasive Abdominal Surgery
of abdomen in the epigastric region right under the incision line (Figure 8). Once the
cylinder has been introduced the triangle of Calot is infiltrate with 2-4 cc of 2% mepivacaine
(Figure 9). At the end of surgery and subcutaneous muscle planes were infiltrated with 10-
20 ml of bupivacaine 0.25%.
Before leaving the operating room the patients receives: paracetamol 1g/ev, dexamethasone
8mg/ev, ondansetron 4mg/ev and ketorolac 1mg/kg, although the latter was avoided in
patients 70 years or older.
Fig. 8. Local anesthesia on intercostals nerves IX-VII and incision planes
Fig. 9. Infiltration with mepivacaine 2% of the hepatocystic triangle