Rectus Sheath Block for Analgesia After Gynecological Laparotomy

bilateral rectus sheath block under ultrasound guidance using 133 mg liposomal bupivacaine and 20 ml bupivacaine 0.25% per side deposited between the rectus abdomens muscle and the posterior rectus sheath.

Low thoracic Epidural Analgesia.

133 mg liposomal bupivacaine per side for rectus sheath block

20 mL bupivacaine 0.25% per side for rectus sheath block

Bupivacaine 0.625% with hydromorphone 10 mcg/ml for the epidural solution