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Perspectives, Opinions and Curiosities ·

Analgesia Revolution: Rectus Sheath vs. Epidural for Open Surgery

Rectus sheath catheters offer a safe pain management alternative to thoracic epidural analgesia, reducing complications and costs for open surgery patients.

  • No significant difference in postoperative pain scores or opioid use between the two methods.
  • Rectus sheath catheters cut the risk of hypotension by 60% and lower costs between $500 and $6632 per case.

These findings support rectus sheath catheters as a viable option, enhancing recovery and resource efficiency in surgical care.

  • Fewer urinary retention issues and faster mobilization noted in non-visceral surgeries.

Journal Article by Fankhauser CD, Breitenstein S (…) Kaufmann E et 5 al. in Br J Surg

© The Author(s) 2026. Published by Oxford University Press on behalf of BJS Foundation Ltd.

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