Open Ventral Hernia Surgery Alternate View
Bruce Ramshaw, MD, Clinical Associate Professor of Surgery at Florida State University College of Medicine, Daytona Beach, FL demonstrates infiltration technique.
The initial infiltration of long-acting local anesthetic is performed at the lateral posterior rectus sheath where the neurovascular bundles are identified prior to transecting the transversus abdominis fascia. The infiltration addresses the peritoneal and myofascial planes.
Clinical Infiltration Pearls from Video Segment
– Injection of 1.0–1.5 mL is performed while withdrawing the syringe, and this technique is repeated every 1–2 cm to cover the entire abdominal wall
– The subdermal plane is infiltrated using a fanning technique. The needle is inserted 1–2 cm in multiple directions; infiltrating while withdrawing the syringe. This is repeated every 1–2 cm of the incision bilaterally