1. Dr Umesh K Dash Dr Umesh K Dash India says:

    Even any procedure carried out by endoscope by going through mouth into stomach than into abdominal cavity will be very much discomfortable to carry out with the regional anaesthesia. Not only patient awareness during initial insertion of scope will cause much discomfort to the patient but there will be also inadequate relaxation of abdominal wall muscles. All these may cause some or other unnecessary movement of upper part of body, which may result perforation of abdominal visceras. Any regional anaesthesia given during the abdominal surgeries will be a half hearted attempt of anaesthesia.

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