Catheter-Based Donor Site Analgesia After Rib Grafting: A Prospective, Randomized, Double-Blinded Clinical Trial Comparing Ropivacaine and Bupivacaine

Does Preincisional Infiltration with Bupivacaine Reduce Postoperative Pain in Laparoscopic Bariatric Surgery?

“…In any case, as other authors [22][23][24], we strongly believe that local anesthetic administration is beneficial in the postoperative period by allowing patients to mobilize more quickly and reducing the possible initial difficulties that could hinder the realization of incentive spirometry, ensuring a safe and quick postoperative recovery. Moreover, it is the first four hours after surgery when VAS score was highest.…”

Efficacy and safety of 1% ropivacaine for postoperative analgesia after lower third molar surgery: a prospective, randomized, double-blinded clinical study

“…Namely, it has already been shown that 1 % ropivacaine (20 ml), used for the interscalene brachial plexus block induces a long-lasting postoperative analgesia, much longer than 2 % mepivacaine (20 ml) [28]. Similarly, after continuous infusion or even bolus infiltration of 0.75 % ropivacaine directly to the operative site, a good quality of postoperative analgesia is noticed after the elective arthroscopic surgery [29] or rib bone graft harvesting [13]. A good level of postoperative analgesic effect is also noticed in dentistry [21,22], although not so much when ropivacaine had been used for infiltration anesthesia [23].…”

“…Regarding the safety profile, ropivacaine has a lower potential to induce cardiovascular and neural toxicity in comparison to bupivacaine [8,9] due to the fact that it is a pure S-enantiomer instead of a racemic bupivacaine [5]. Besides a reliable intraoperative anesthetic effect, a long-lasting postoperative analgesia was repeatedly reported for both ropivacaine and bupivacaine used for peripheral nerve blocks and infiltration [6,[10][11][12][13] or epidural anesthesia [7,14,15].…”

3 The Use of Costal Cartilage for Dorsal Augmentation and Tip Grafting

“…As there is less cautery required for hemostasis at the rib compared with the ear, donor site pain is also less. 4 Postoperative complications seen with synthetic implants-wound infection, graft extrusion, injured skin envelope-are rare; however, the risk of complications remains for a lifetime (Fig. 3.2).…”