A Prospective Observational Hospital-Based Assessment of the Epidural or Intrathecal Morphine for Post-Operative Analgesia Following Laparoscopic Endometriosis Surgery

AbstractAim: 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 department of Anesthesia, Anugrah Narayan MagadhMedical College and Hospital, Gaya, India for 15 months and 100 patients were included inthe study.Results: Majority of the patients (26%) were belonged to overweight (25.00–29.99) categoryfollowed by 24% Obesity class III (≥40). 78% cases completed ≤12 years of school and 68%were married. 66% had no analgesia followed by 32% non-opioid analgesia. Mean pain scoreswere significantly higher at one week (1.62, � < 0.0001), four weeks (0.63, � = 0.02), and sixmonths (0.27, � = 0.04), but not at three months following surgery. During the first twopostoperative 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 endometrial canceris associated with less need for epidural and postoperative analgesic prescription comparedwith open surgery, saving on costs of analgesia and highlighting a further significant benefit topatients and the healthcare system of laparoscopic treatment over traditional open abdominalsurgery