Comparison of Local Anesthetic Infusion Pump Bupivacaine versus Transversus Abdominis Plane (TAP) Block Liposomal Bupivacaine For Pain Management After Bilateral Deep Inferior Epigastric Perforator Free Flap Reconstruction

Post-surgical analgesia can be addressed at numerous timepoints, from pre-operative "enhanced recovery protocols" to intra-operative nerve blocks or local infusion to post-operative narcotics. In order to adress this short duration of local anesthetics, an indwelling pain pump can be utilized. However, pumps can become occluded and are not guaranteed to stay in the right anatomical plane. Thus, it would be ideal to provide a means of pain control that does not require external devices and that is desirable from a cost perspecitve.

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