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Updated: May 16, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

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[Continuous wound infiltration for upper abdominal surgery: 3 case reports].

Naho Sata¹, Kunihisa Hotta, Koki Taira

¹Department of Anesthesiology and Critical Care Medicine, Jichi Medical University School of Medicine, Shimotsuke 329-0498.

Masui. the Japanese Journal of Anesthesiology

|December 15, 2012

Summary

Continuous wound infiltration (CWI) effectively managed postoperative pain in upper abdominal surgery patients. This technique allowed for early ambulation and minimal rescue medication use, demonstrating its value for pain control.

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Area of Science:

Anesthesiology
Surgical Pain Management

Background:

Postoperative pain control is crucial for recovery after upper abdominal surgery.
Traditional methods may have limitations, especially in patients with specific comorbidities.

Observation:

Three cases utilized continuous wound infiltration (CWI) with epidural catheters for postoperative analgesia.
Ropivacaine 0.2% at 8 ml/hr was administered post-surgery, with IV-patient controlled analgesia as rescue.

Findings:

Continuous wound infiltration provided effective postoperative pain management.
Patients achieved early ambulation the day after surgery.
Minimal rescue morphine was required, with no observed side effects.

Implications:

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CWI is a simple and effective technique for managing pain after upper abdominal surgery.

It is particularly indicated for patients with hemostatic abnormalities or challenges with epidural anesthesia.

This method offers a viable alternative for enhanced postoperative recovery.