A Hospital Based Study Assessing Epidural or Intrathecal Morphine for Post-Operative Analgesia Following Laparoscopic Endometriosis Surgery: An Observational Study

Aim: The aim of the present study was to assess epidural or intrathecal morphine for postoperative analgesia following laparoscopic endometriosis surgery.Methods: The present study was conducted at department of Anesthesiology, AIIMS, Patna,Bihar, India for 10 months and 100 patients were included in the study.Results: Majority of the patients (28%) were belonged to overweight (25.00–29.99) categoryfollowed by 22% Obesity class III (≥40). 75% cases completed ≤12 years of school and 65%were married. 65% had no analgesia followed by 32% non-opioid analgesia. Mean painscores were significantly higher at one week (1.62, � < 0.0001), four weeks (0.63, � = 0.02),and six months (0.27, � = 0.04), but not at three months following surgery. During the firsttwo postoperative days, opioid analgesia (98%, � = 0.09) and NSAIDS (60%, � = 0.7), asignificantly higher proportion of patients required Paracetamol (95%, � = 0.03). At 3–5 daysafter surgery. Analgesic use was comparable between groups after 60 days after surgery.Conclusion: The results of this study showed that laparoscopic surgery for endometrialcancer is associated with less need for epidural and postoperative analgesic prescriptioncompared with open surgery, saving on costs of analgesia and highlighting a furthersignificant benefit to patients and the healthcare system of laparoscopic treatment overtraditional open abdominal surgery.