Abstract
Background: Multi-modal pain management has become an integral part of early recovery after surgery (ERAS) protocols. We performed a prospective double blinded study of 150 patients undergoing laparoscopic vertical sleeve gastrectomy (83) and laparoscopic roux-en-Y gastric bypass (62). Patients were randomized into 3 groups: control group 1 (CG) receiving intravenous narcotics only, group 2 receiving liposomal bupivicaine (ExparelTM) only (Ex) and group 3 receiving liposomal bupivicaine (ExparelTM) and intravenous acetaminophen (Ex/Ac).
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