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The anterior abdominal wall runs from the sternum’s costal margin and xiphoid process to the inguinal ligament and pelvic bone inferiorly and the mid-axillary line laterally. It is supplied by lower six thoracic nerves (T7 to T12) and the first lumbar nerve (L1) supplying the skin, muscles, and parietal peritoneum. The abdominal surgeries requiring midline incision are painful. Multimodal opioid-sparing analgesia is recommended for this patients. In addition to drugs various regional anesthetic techniques have been described like thoracic epidural, continuous wound infiltration catheter, paravertebral block and fascial Plane Blocks like transversus Abdominis Plane block, rectus sheath block, quadratus Lumborum block and wound infiltration. We have discussed various analgesic options in patients undergoing pper abdominal surgery with midline incision.

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Analgesia for Upper Abdominal Surgery with Midline Incision

  • 章节

  • 发表日期：

    2026年

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  • Arunangshu Chakraborty,
  • Srimanta Halder

摘要

The anterior abdominal wall runs from the sternum’s costal margin and xiphoid process to the inguinal ligament and pelvic bone inferiorly and the mid-axillary line laterally. It is supplied by lower six thoracic nerves (T7 to T12) and the first lumbar nerve (L1) supplying the skin, muscles, and parietal peritoneum. The abdominal surgeries requiring midline incision are painful. Multimodal opioid-sparing analgesia is recommended for this patients. In addition to drugs various regional anesthetic techniques have been described like thoracic epidural, continuous wound infiltration catheter, paravertebral block and fascial Plane Blocks like transversus Abdominis Plane block, rectus sheath block, quadratus Lumborum block and wound infiltration. We have discussed various analgesic options in patients undergoing pper abdominal surgery with midline incision.