{"paper_id":"5e30aeac-8976-4925-90bb-5e440d124129","body_text":"A Hospital Based Study Assessing Epidural or Intrathecal Morphine for Post-Operative Analgesia Following Laparoscopic Endometriosis Surgery: An Observational Study\nAuthors/Creators\n- 1. Senior Resident, Department of Anesthesiology, AIIMS, Patna, Bihar, India\n- 2. Senior Resident, Department of General Medicine, AIIMS, Patna, Bihar, India\n- 3. Associate Professor, Department of Pathology, Mahatma Gandhi Medical College, Jamshedpur, Jharkhand, India\nDescription\nAim: The aim of the present study was to assess epidural or intrathecal morphine for postoperative analgesia following laparoscopic endometriosis surgery.\nMethods: The present study was conducted at department of Anesthesiology, AIIMS, Patna,\nBihar, India for 10 months and 100 patients were included in the study.\nResults: Majority of the patients (28%) were belonged to overweight (25.00–29.99) category\nfollowed by 22% Obesity class III (≥40). 75% cases completed ≤12 years of school and 65%\nwere married. 65% had no analgesia followed by 32% non-opioid analgesia. Mean pain\nscores were significantly higher at one week (1.62, � < 0.0001), four weeks (0.63, � = 0.02),\nand six months (0.27, � = 0.04), but not at three months following surgery. During the first\ntwo postoperative days, opioid analgesia (98%, � = 0.09) and NSAIDS (60%, � = 0.7), a\nsignificantly higher proportion of patients required Paracetamol (95%, � = 0.03). At 3–5 days\nafter surgery. Analgesic use was comparable between groups after 60 days after surgery.\nConclusion: The results of this study showed that laparoscopic surgery for endometrial\ncancer is associated with less need for epidural and postoperative analgesic prescription\ncompared with open surgery, saving on costs of analgesia and highlighting a further\nsignificant benefit to patients and the healthcare system of laparoscopic treatment over\ntraditional open abdominal surgery.\nAbstract (English)\nAim: The aim of the present study was to assess epidural or intrathecal morphine for postoperative analgesia following laparoscopic endometriosis surgery.\nMethods: The present study was conducted at department of Anesthesiology, AIIMS, Patna,\nBihar, India for 10 months and 100 patients were included in the study.\nResults: Majority of the patients (28%) were belonged to overweight (25.00–29.99) category\nfollowed by 22% Obesity class III (≥40). 75% cases completed ≤12 years of school and 65%\nwere married. 65% had no analgesia followed by 32% non-opioid analgesia. Mean pain\nscores were significantly higher at one week (1.62, � < 0.0001), four weeks (0.63, � = 0.02),\nand six months (0.27, � = 0.04), but not at three months following surgery. During the first\ntwo postoperative days, opioid analgesia (98%, � = 0.09) and NSAIDS (60%, � = 0.7), a\nsignificantly higher proportion of patients required Paracetamol (95%, � = 0.03). At 3–5 days\nafter surgery. Analgesic use was comparable between groups after 60 days after surgery.\nConclusion: The results of this study showed that laparoscopic surgery for endometrial\ncancer is associated with less need for epidural and postoperative analgesic prescription\ncompared with open surgery, saving on costs of analgesia and highlighting a further\nsignificant benefit to patients and the healthcare system of laparoscopic treatment over\ntraditional open abdominal surgery.\nFiles\nIJCPR,Vol15,Issue3,Article24.pdf\nFiles\n(383.6 kB)\n| Name | Size | Download all |\n|---|---|---|\n|\nmd5:01981f0407a1f0bb65e7ff94b64772c7\n|\n383.6 kB | Preview Download |\nAdditional details\nDates\n- Accepted\n-\n2023-03-03","source_license":"CC0","license_restricted":false}