Abstract
Objectives: Thoracic epidural analgesia (TEA) provides excellent pain relief following open abdominal surgery and it has traditionally been considered the gold standard in this setting. However concerns over complications coupled with reportedly high failure rates have led to the search for alternative strategies. In response to new evidence the ERAS society has altered the strength of their recommendation for TEA in gynae-oncology laparotomy to ‘moderate’1. Our centre recently changed from TEA to intrathecal morphine (ITM) in conjunction with rectus sheath catheters (RSC) for postoperative analgesia in this group of patients.
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