RT Book, Section
A1 Beaussier, Marc
A2 Atchabahian, Arthur
A2 Gupta, Ruchir
SR Print(0)
ID 57262942
T1 Chapter 151. Innervation of the Abdominal Wall and Viscera
T2 The Anesthesia Guide
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176049-2
LK accessanesthesiology.mhmedical.com/content.aspx?aid=57262942
RD 2024/10/03
AB Recent  findings  emphasize  the  “two-wound  model”  after  abdominal  surgery:  The  somatic  wound  corresponds  to  the  abdominal  wallThe  autonomic  wound  corresponds  to  the  peritoneal  layer  and  visceral  componentPain  after  abdominal  surgery  arises  predominantly  from  parietal  somatic  afferents,  making  parietal  blocks  very  effectivePeritoneal  and  visceral  sensory  innervation  is  provided  by  visceral  afferents  running  along  the  sympathetic  nerves  and  joining  the  dorsal  horn  at  the  higher  thoracic  levels.  However,  a  significant  part  of  these  afferents  may  reach  the  central  nervous  system  by  the  vagus  nerve,  and  will  not  be  blocked  even  by  an  epidural  block