Assessment of the Safety and Efficiency of a Preperitoneal Continuous Infusion Using Bupivacaine after Abdominal Laparotomy in Digestive Carcinology

Figure 1

Infiltration kit and its placement in the wound after surgery (photos taken in operating block of the Hassan II University Hospital-FEZ-). (a) Catheter with its peelable introducer needle, (b) multiholed catheter allowing a homogeneous diffusion of the local anesthetic, (c) the elastomeric pump and syringe for filling, (d) multiholed catheter placed in preperitoneal position (between the parietal sheet of the peritoneum and the musculoaponeurotic layer), (e) closure of the musculoaponeurotic plane, and (f) flow adjustment and administration start of bupivacaine after wound dressing.