Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Analgesia and Pain Management

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...

Abdominal Aorta

Abdominal Aorta

Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...

Pain

Pain

Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...

Ultrasound I: Abdominal Ultrasonography

Ultrasound I: Abdominal Ultrasonography

Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...

Abdominal Regions and Quadrants

Abdominal Regions and Quadrants

To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...

Tonsillitis II: Management

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Contextualizing AI Evaluation in Anesthesiology: Interpreting Predictive Modeling and Reinforcement Learning Metrics Across Clinical Use Cases-An Expert Statement From the Society of Technology in Anesthesia.

Anesthesia and analgesia·2026

Same author

Contextualizing AI Evaluation in Anesthesiology: Interpreting Large Language Models and Computer Vision Metrics Across Clinical Use Cases-An Expert Statement from the Society of Technology in Anesthesia.

Anesthesia and analgesia·2026

Same author

Videolaryngoscopy versus direct laryngoscopy: a national survey on availability, use, and preferences in Canadian anesthesiology departments.

Canadian journal of anaesthesia = Journal canadien d'anesthesie·2026

Same author

Investigation into the clinical performance of rectus sheath block in reducing postoperative pain following surgical intervention: A systematic review and meta-analysis of randomised controlled trials.

Indian journal of anaesthesia·2024

Search research articles

Related Experiment Video

Updated: Feb 4, 2026

Modified Spared Nerve Injury Surgery Model of Neuropathic Pain in Mice

Modified Spared Nerve Injury Surgery Model of Neuropathic Pain in Mice

Published on: January 25, 2022

Pain management in abdominal surgery.

Thomas M Hemmerling^1,2,3

¹Department of Anesthesia, McGill University, 1650 Cedar Avenue, Montreal, Canada. thomas.hemmerling@mcgill.ca.

Langenbeck'S Archives of Surgery

|October 5, 2018

Summary

Minimally invasive abdominal surgery still causes significant pain. Ultrasound-guided abdominal wall blocks are key to multimodal pain strategies, offering effective relief alongside NSAIDs and short-acting opioids.

Keywords:

Abdominal surgery Loco-regional anesthesia Pain management

More Related Videos

Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram

Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram

Published on: July 7, 2023

Optimizing Photoneuromodulation Techniques to Evaluate the Role of Green Light-Emitting Diodes in Pain Management

Optimizing Photoneuromodulation Techniques to Evaluate the Role of Green Light-Emitting Diodes in Pain Management

Published on: March 28, 2025

Related Experiment Videos

Last Updated: Feb 4, 2026

Modified Spared Nerve Injury Surgery Model of Neuropathic Pain in Mice

Modified Spared Nerve Injury Surgery Model of Neuropathic Pain in Mice

Published on: January 25, 2022

Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram

Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram

Published on: July 7, 2023

Optimizing Photoneuromodulation Techniques to Evaluate the Role of Green Light-Emitting Diodes in Pain Management

Optimizing Photoneuromodulation Techniques to Evaluate the Role of Green Light-Emitting Diodes in Pain Management

Published on: March 28, 2025

Area of Science:

Anesthesiology
Surgical Pain Management

Background:

Abdominal surgery has shifted from open to minimally invasive techniques.
Pain management strategies have evolved, incorporating ultrasound-guided abdominal wall blocks.
Minimally invasive surgery can still result in significant postoperative pain.

Purpose of the Study:

To review pain management strategies for various surgical procedures.
To describe techniques, provide examples, and discuss advantages/disadvantages.
To guide readers in developing effective pain management strategies and update surgeons on anesthetic techniques.

Main Methods:

Narrative review of current pain management strategies.
Description and discussion of ultrasound-guided abdominal wall blocks.
Analysis of multimodal pain approaches in abdominal surgery.

Main Results:

Pain remains a significant concern in minimally invasive surgery.
Abdominal wall blocks (single shot or continuous) are crucial components of modern pain management.
Multimodal strategies combining blocks, NSAIDs, and patient-controlled analgesia (PCA) opioids are effective.

Conclusions:

Effective pain management is essential in all abdominal surgery, including minimally invasive procedures.
Abdominal wall blocks represent a significant advancement in multimodal pain strategies.
Epidural analgesia and spinal anesthesia are now typically second-line options for specific cases.