What is the role of anesthesia in total mesorectal excision (TME)?

Updated: Feb 16, 2021
  • Author: Nanda Kishore Maroju, MRCS, MS, MBBS, DNB; Chief Editor: Kurt E Roberts, MD  more...
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Answer

Patients receive general anesthesia, with or without epidural analgesia. A specific issue that an anesthetist should be aware of is the need for a Trendelenburg position during pelvic dissection. Options for postoperative analgesia include the following:

  • Continuous epidural infusions
  • Patient-controlled analgesia
  • Wound catheters with local anesthetic
  • Conventional parenteral/enteral analgesia

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