Abstract
A 37-year-old woman was scheduled to undergo resection for a massive abdominal tumor. Although there was a risk of massive hemorrhage and other complications, the tumor, which was later diagnosed as uterine myoma, was resected without any major complications. Due to early anticoagulation therapy, postoperative analgesia was performed with continuous wound infiltration of anesthetic and continuous intravenous infusion of fentanyl. When leaving the operating room, the patient did not complain of pain, and postoperative VAS was generally favorable.
Our results suggested that in cases in which epidural anesthesia cannot be carried out, a combination of continuous wound infiltration under anesthesia with 0.2% ropivacaine and continuous infusion of fentanyl could potentially be helpful for post-operative pain management.
