case_images: PMC11809607_01
case_images: Photograph of a 19-gauge wound catheter with 60 fenestrations at the distal 150 mm of the catheter and break-away needle used for insertion/skin tunnelling. The fenestrations allow an even spread of the local anesthetic solution along the course of the catheter.
case_images: jmc-16-043-g001.jpg
case_images: PMC11809607_01_jmc-16-043-g001.jpg
case_images: F1
case_images: Two 19-gauge wound catheters (InfiltraLong 600 wound catheters, Pajunk, Geisingen, Germany) were used, each with 60 fenestrations at the distal 150 mm of the catheter to provide an even spread of the local anesthetic solution along the epidural space (Fig. 1).
case_images: Postoperative photograph after wound closure. One catheter (red arrow) was threaded cephalad in the epidural space, while the second catheter (blue arrow) was threaded caudally. Both catheters exited the skin to the right of the surgical incision. The surgical site is surrounded by a transparent antimicrobial drape. Anatomic landmarks are labeled.
case_images: jmc-16-043-g002.jpg
case_images: PMC11809607_01_jmc-16-043-g002.jpg
case_images: F2
case_images: Both catheters were tunneled to exit the skin a few centimeters to the right of the surgical incision (Fig. 2).