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Research Article | Open Access

Published on: 22 Jan 2026

Article ID: wjan.2026.a2209

Assessing the Benefits of Standardizing Transversus Abdominis Plane (TAP) Block in Laparoscopic Surgeries: A Retrospective Study
Hema Chandrika M* 1 Ravi Chavan 1

Background: Effective postoperative pain control is a key determinant of recovery following laparoscopic surgery. Transversus Abdominis Plane (TAP) block is widely used as part of multimodal analgesia to reduce postoperative pain and opioid consumption. However, real world evidence comparing analgesic outcomes associated with TAP block use in routine clinical practice remains limited.

Aim: To assess the association between the use of TAP block…

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Case Report | Open Access

Published on: 01 Jan 2026

Article ID: wjan.2026.a0104

Scarless Trans‑Umbilical Wedge Resection of a Prolapsed Vitellointestinal Duct Under Rectus Sheath Local Anesthesia Block in an Infant: A Case Report
Govani DR 1 Mehta AR 2 Midha PK 3 Govani ND 1 Panchasara NG 1 Patel RR 1 Patel RV* 1

This manuscript describes a rare and clinically significant case of a prolapsed vitellointestinal duct (VID) in a 6‑week old‑old infant, successfully managed using a scarless trans‑umbilical wedge resection performed entirely under local anesthesia. While VID anomalies are well documented, the use of a minimally invasive, awake surgical approach in an infant is exceptionally uncommon. Our report highlights a safe and effective alternative to general anesthesia in selected infants, a…

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Research Article | Open Access

Published on: 05 Dec 2025

Article ID: wjan.2025.l0501

Ketamine and Pediatric PTSD: A Retrospective Analysis of Risk Following Anesthesia for Fractures
Elijah McMillan 1 Da’Jhai Monroe 1 Nicole Chapman 1 Elizabeth Beyene 2 Sarah Kim 1 Noah Wheaton 1 Kevin Boluyt 1 Bria Moore 1 Emmanuel Ocampo 1 Miguel Ramallo 1 Keleb Mehari 1 Samrawit Zinabu 2 Mekdem Bisrat* 2 Miriam Michael 2,3

Introduction: Ketamine is widely used for pediatric procedural sedation, but its long-term psychological effects remain unclear. This study examines the incidence of post-traumatic stress disorder (PTSD) and depression in children receiving ketamine versus other anesthetics for fracture management.

Methods: A retrospective cohort study was conducted on 677,189 children aged 6–18 who received ketamine or another anesthetic. After 1:1 propensity…

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Research Article | Open Access

Published on: 03 Dec 2025

Article ID: wjan.2025.l0304

Comparison of Postpartum Depression Incidence in Patients Undergoing Cesarean Section with and Without Ketamine Use: A Retrospective Cohort Study
Da’Jhai Monroe 2 Sumaiya Ahmed 7 Elizabeth Beyene 3 Valerie McAllister 1 Nurupa Ramkissoon 1 Samrawit Zinabu 3 Elijah McMillan 2 Miguel Ramallo 2 Kamdili Ogbutor 5 Huda Gasmelseed 3 Mahlet Abrie 6 Mekdem Bisrat* 3 Basheer Qolomany 3 Miriam Michael 3,4

Ketamine is increasingly being explored as a treatment for depression and has been studied for its potential prophylactic effects in postpartum depression (PPD). This study aims to analyze data from a large population to determine ketamine's efficacy in preventing PPD in patients without a prior history of depression and mitigating symptom escalation in those with a history of depression. Using data from TriNetX, a global health research network, we compare the incidence of PPD among…

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Case Report | Open Access

Published on: 01 Dec 2025

Article ID: wjan.2025.l0101

Post-Anesthesia Spinal Epidural Hematoma Leading to Cord Compression
Govani DR 1 Swamy KB 2 Midha PK 3 Govani ND 1 Panchasara NG 1 Patel RR 1 Patel RV* 1

An interesting rare case of post-anesthesia spinal epidural hematoma leading to cord compression in an 18-year-old girl having pelvic and bi-lobar hepatic metastatic masses which required operative intervention by laminectomy decompression has been reported. Patient had laparotomy for a pelvic mass with hepatic metastasis for staged debulking and the complication developed on 4th post operative day during mobilization and the anesthesiology, pain control, neurology and surgical teams…

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Research Article | Open Access

Published on: 28 Nov 2025

Article ID: wjan.2025.k2803

Association of Anesthesia Modality with Opioid Prescriptions After Cesarean Delivery: A Comparative Study of General and Epidural Techniques
Madison Burnard 2 Nicole Chapman 2 Edward Arenas 2 Amari Eubanks 1 Elijah McMillan 2 Elizabeth Beyene 4 Mekdem Bisrat* 4 Miriam Michael 3,4

Background: Cesarean section (C-section) is the most common surgical procedure performed in the United States and a known contributor to initial opioid exposure among women of reproductive age. While neuraxial (epidural) anesthesia is the preferred technique for cesarean delivery, general anesthesia is still used in select clinical scenarios. Given the ongoing opioid crisis, it is critical to understand how anesthesia modality influences postoperative opioid prescribing…

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