An abdominal operation combines a somatic abdominal wall wound with a second autonomic
wound to the peritoneal cavity and viscera and little attention has been paid the
autonomic/peritoneal wound that communicates directly to the brain by the vagus nerve.
Moreover, vagal input originating from the peritoneum modulates and regulates postoperative
recovery. Consequently, blockade of the afferent neural and inflammatory input from
this autonomic/peritoneal wound will reduce postoperative neurohormonal stress and
enhance patient recovery from an abdominal operation.
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Article info
Publication history
Published online: December 13, 2010
Accepted:
October 25,
2010
Identification
Copyright
© 2011 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
