Intraoperative analgesia
The contributory factors to postoperative pain following laparoscopic surgery are discomfort at incision sites, stretching of intraabdominal cavity, peritoneal inflammation, and dissection of abdominal or pelvic viscera.
Therefore, multimodal analgesia is required to address each component of postoperative pain to minimize the use of systemic analgesia as the main source of postoperative pain control due to the potential adverse side effects (67). Regular pain scoring and encouraging patients to ask for analgesia are also important aspects of effective anaesthesia (68).Overall, multimodal analgesia has been shown to significantly reduce postoperative pain, nausea and vomiting, and total postoperative analgesia requirement, although there is conflicting evidence for the efficacy when comparing individual elements of multimodal analgesia with placebo (Table 47.3). Perhaps what is most important is that a combination of analgesic modalities and locations is of most benefit for women and perhaps it is purely academic as to which one provides the greatest effect when the combination is considered safe and guidelines on the use of local anaesthetics are appropriately followed. Table 47.3 summarizes the data from RCTs regarding the mode of analgesia to minimize postoperative pain.
More on the topic Intraoperative analgesia:
- Intraoperative analgesia
- Port site closure
- Pain control
- REFERENCES
- Arulkumaran S., Ledger W., Denny L., Doumouchtsis S. (eds.). Oxford Textbook of Obstetrics and Gynaecology. Oxford University Press,2020. — 928 p., 2020
- Abortion methods
- CONTENTS
- Obstetric Anaesthesia in Multiple Pregnancy
- AMBULATORY GYNECOLOGIC SURGERY ^143 ^163 ^225 ^680
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