{"paper_id":"658665cc-07cf-4efb-b649-933e184b0899","body_text":"A Prospective Observational Hospital-Based Assessment of the Epidural or Intrathecal Morphine for Post-Operative Analgesia Following Laparoscopic Endometriosis Surgery\nAuthors/Creators\n- 1. Assistant Professor, Department of Anesthesia, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar, India\n- 2. Associate Professor and HOD, Department of Anesthesia, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar, India\nDescription\nAbstract\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 department of Anesthesia, Anugrah Narayan Magadh\nMedical College and Hospital, Gaya, India for 15 months and 100 patients were included in\nthe study.\nResults: Majority of the patients (26%) were belonged to overweight (25.00–29.99) category\nfollowed by 24% Obesity class III (≥40). 78% cases completed ≤12 years of school and 68%\nwere married. 66% had no analgesia followed by 32% non-opioid analgesia. Mean pain scores\nwere significantly higher at one week (1.62, � < 0.0001), four weeks (0.63, � = 0.02), and six\nmonths (0.27, � = 0.04), but not at three months following surgery. During the first two\npostoperative 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 cancer\nis associated with less need for epidural and postoperative analgesic prescription compared\nwith open surgery, saving on costs of analgesia and highlighting a further significant benefit to\npatients and the healthcare system of laparoscopic treatment over traditional open abdominal\nsurgery\nAbstract (English)\nAbstract\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 department of Anesthesia, Anugrah Narayan Magadh\nMedical College and Hospital, Gaya, India for 15 months and 100 patients were included in\nthe study.\nResults: Majority of the patients (26%) were belonged to overweight (25.00–29.99) category\nfollowed by 24% Obesity class III (≥40). 78% cases completed ≤12 years of school and 68%\nwere married. 66% had no analgesia followed by 32% non-opioid analgesia. Mean pain scores\nwere significantly higher at one week (1.62, � < 0.0001), four weeks (0.63, � = 0.02), and six\nmonths (0.27, � = 0.04), but not at three months following surgery. During the first two\npostoperative 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 cancer\nis associated with less need for epidural and postoperative analgesic prescription compared\nwith open surgery, saving on costs of analgesia and highlighting a further significant benefit to\npatients and the healthcare system of laparoscopic treatment over traditional open abdominal\nsurgery\nFiles\nIJCPR,Vol15,Issue5,Article64.pdf\nFiles\n(373.4 kB)\n| Name | Size | Download all |\n|---|---|---|\n|\nmd5:f202d1b67e8ad77a68a9928f76c1e773\n|\n373.4 kB | Preview Download |\nAdditional details\nDates\n- Accepted\n-\n2023-03-19","source_license":"CC0","license_restricted":false}