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Updated: Dec 12, 2025

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
Published on: January 31, 2025
Tattoo and epidural analgesia: Rise and fall of a myth
Nicolas Kluger1, Jean-Christian Sleth2
1University of Helsinki and Helsinki University Central Hospital, Department of Dermatology, Allergology and Venereology, Helsinki, Finland; Hôpital Bichat - Claude-Bernard, Consultation « tatouage », service de dermatologie, Paris, France.
Abstract:
Since 2002, it has been unclear whether epidural analgesia (EA) could safe through a lower back tattoo. Theoretical risks of pigment tissue coring have led to precautionary measures and misconception that EA should be excluded. We reviewed chronologically the 18 years of medical literature summarizing the so-called risks of EA through lower back tattoo in parturient women. To date, no convincing complication has been ever reported after an EA through a tattoo. We hope this review will bring a closure to a 18-year-old "non-issue" that has poisoned and stressed unnecessarily a generation of parturient.
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